ФИКСАТОРЫ ВОЛОСЯНЫХ ИМПЛАНТАТОВ, СИСТЕМЫ НА ИХ ОСНОВЕ И СПОСОБЫ ИХ ИСПОЛЬЗОВАНИЯ

Изобретение относится к медицине. Фиксатор волосяного имплантата выполнен с возможностью использования с устройством для вставки одного или нескольких волос в участок ткани. Фиксатор волосяного имплантата содержит держатель, выполненный с возможностью захватывать один или несколько волос, и одну или несколько выборочно развертываемых пластин, составляющих единое целое с указанным держателем. Когда фиксатор находится в своей первой конфигурации для имплантации волос, пластины удерживаются размещающим устройством в положении, в целом параллельном оси вставки. Во второй конфигурации пластины принимают положение, отходящее от оси вставки, фиксируя тем самым держатель и волос, удерживаемый им, в участке ткани. 2 н. и 22 з.п. ф-лы, 18 ил.

УСТРОЙСТВО И СПОСОБ ЗАКРЕПЛЕНИЯ ШОВНОГО ФИКСАТОРА В ТВЕРДОЙ ТКАНИ

Изобретение относится к медицинской технике, а именно к устройству для закрепления шовного фиксатора в отверстии, выполненном в твердой ткани, посредством материала с термопластичными свойствами и энергии, передаваемой на шовный фиксатор для местного разжижения, по меньшей мере, части материала с термопластичными свойствами. Устройство для закрепления шовного фиксатора содержит дистальную поверхность инструмента и осевой канал с дистальным входным участком, расположенным в дистальной поверхности инструмента, и по существу трубчатый контактный элемент, вставленный в осевой канал инструмента, причем осевой канал и контактный элемент снабжены захватными элементами, взаимодействующими друг с другом для захвата проксимального конца контактного элемента в осевой канал, когда контактный элемент перемещается в проксимальном направлении в осевом канале. Шовный фиксатор соединен с дистальным концом контактного элемента и содержит ножку фиксатора, через которую пропускают шовный материал в форме петли ...

ANKER FÜR NÄHGARN.

Chirurgischer Nähfadenanker mit Gewinde

GERÄT ZUR VERANKERUNG VON OBJEKTEN AN KNOCHEN

Knotenloses Nähfadenankersystem

Trochlear groove implants and related methods and instruments

Knotless suture anchoring device having deforming section to accommodate sutures of various diameters

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT BIOLOGICAL DEGRADABLE SEAM ANCHORING SYSTEM AND PROCEDURE

APPARATUSES FOR CONNECTING FABRIC LAYERS

BUTTON AND CONTINUOUS ONE LOOP FOR THE ADJUSTMENT OF VOLUMES

DEVICE FOR THE REDUCTION OF THE HEART WALL TENSION

RING BELT ARRANGEMENT FOR THE ATTACHMENT OF FABRIC AT BONES WITH A SEAM

VERSCHLUSSVORRICHTUNG TO THE BACKTACKING MECHANISM

DEVICE TO ENDOLUMINALEN THE THERAPY

FABRIC MOUNTING DEVICES

DEVICE FOR RESTORING CHORDS AND VOLUMES

SEWING THREAD ANCHOR

BONE POSITIONING FIXTURE

SEAM ANCHOR AND ADAPTATION DEVICE

KNOT LOTS SEAM ANCHOR COMPOSITION WITH SUITOR LOOP

TO A SAFE ONE AND A FAVORABLE ONE ATTACHMENT APTITUDE LOOP MECHANISM

MARK NAIL APPARATUS TO THE REPAIR OF PROXIMAL UPPER ARM FRACTURES

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

KNOT LOT SEWING THREAD ANCHORING SYSTEM

Suture loop anchor

Methods and procedures for ligament repair

Surgical articles and methods for treating pelvic conditions

Bone anchor installer and method of use

Systems, apparatuses and methods for securing tissue to bone using a bone anchoring system are described. Methods and apparatuses may allow transformation between locked and unlocked states, thereby allowing adjustment of the tension in the suture. The apparatus and/or methods may allow unidirectional movement of a suture, while preventing slippage or movement of the suture and tissue in the opposite direction. Ends of a suture may be individually tensioned to adjust positioning of a tissue with respect to a bone.

Suture passer devices and uses thereof

Wired sutures

Suture anchors

Surgical filament snare assemblies

... - 23 Abstract A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose on a first portion of at least a first limb and has a second portion connected to the filament engagement feature of the anchor. Preferably, at least one free filament limb, which in some embodiments is a length of the first filament and in other embodiments is a second filament, is capable of being passed through tissue to be repaired and has at least one end passable through the noose to enable incremental tensioning of the tissue after the anchor is fixated in bone. The noose strangulates the free filament limb when tension is applied to at least one of the free filament limb and the noose. 03/11/11,19570 speci,23 12 > f4330b 130a 34 35 14 33' 36 38 18 15 15a 15a 20-' 32 32a 32b FIG. I FIG. IA FIG. 1B 46 -> *0 0 0 0 12 0 * 3 * * B * _ _ O O o o oc o0 4- c" **( 32' 3 FIG. 2 FIG. 3 ...

Suture anchor and inserter arrangement

A suture anchor and inserter arrangement, including a suture anchor configured for implanting in hard tissue, such as bone, and an inserter device for installing the anchor in hard tissue. The suture anchor includes at least one eyelet formed from suture material at a proximal end thereof, which eyelet cooperates with a working suture associated with the inserter device. The working suture is engaged with the eyelet of the implanted anchor, and can be utilized to anchor soft tissue to hard tissue.

Improved pelvic health implants and methods

Apparatus and method for anchoring sutures

Suture anchor

Needle-suture combinations and methods of use

PFO CLOSURE DEVICES AND RELATED METHODS OF USE

SELF-CINCHING SUTURE ANCHORS, SYSTEMS AND METHODS

Various self-cinching suture anchors, self-cinching suture anchor systems, and methods of use are provided. In one exemplary embodiment, a suture anchor is provided that includes an outer member and an inner member configured to be received within the outer member. The inner and outer members can define a gap that allows a suture to be movably disposed within the outer member, e.g., within the gap, when the inner member is disposed within the outer member. The inner member can be configured to be secured within the outer member by a knot of the suture having a diameter greater than a width of the gap so as to fix the inner member within the outer member, while still allowing uni directional tensioning of the suture. 406b- 406a - - - - - - - - - ---406 -- ~ --- -- 24 14 24 ...

Knotless suture anchor

... - 25 A suture anchor comprises a tubular body having an axial bore therethrough and having one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, such as threads. A 5 lateral port passes through the body from the bore to the exterior surface and is formed of a slot entering the body from its proximal end. A length of suture for attaching soft tissue to bone passes down along the exterior surface over the one or more purchase enhancements, over a distal end of the body, up into the bore through and then back out of the bore and up along the exterior surface over the one or more 10 purchase enhancements. 24/08/11,19436 speci,25 ...

Implant placement systems, devices and methods

Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture.

Suture anchor assembly with slip fit tip

A suture anchor assembly includes an anchor having a tip, the tip including a proximal end and a tapered distal end, a longitudinal axis extending between the proximal and distal ends. An eyelet extends transversely through the longitudinal axis of the tip and is dimensioned to receive one or more sutures. A cannulation is formed within the tip in communication with the eyelet. The cannulation has threads which extend from the proximal end of the cannulation to a region proximal to the distal end of the eyelet. The anchor also has an elongated anchor body formed separately from the tip. The anchor body includes an open cannula extending from a proximal end to a distal end, the distal end of the cannula dimensioned to receive the proximal end of the tip. The anchor further includes a threaded plug formed separately from both the anchor body and the tip, the plug configured to engage the cannulation of the tip. The suture anchor assembly also includes an inserter having an outer shaft dimensioned ...

Intra joint stabilization construct

The disclosure provides devices and methods of use pertaining to intra joint stabilization. Embodiments include a number of suture returning and suture locking anchors that feature elongated sleeves configured to protect the associated bone tunnels from suture wipering, which results in abrasion and enlargement of the bone tunnel and leads to migration of the suture anchors. Embodiments also include suture locking anchors that lock via an interference fit between the suture strand and a receiver of the anchor and a set screw, where the receiver and the set screw each feature a number of gradual, opposing tapers to facilitate gradual proximal-to-distal gripping and releasing of the suture strand to achieve an optimal locking force while preventing severing of the suture strand. Further embodiments include intra joint reinforcement and stabilization constructs formed using the disclosed devices. Other embodiments are disclosed.

Suture anchor and associated method of implantation

Meniscal repair device

Bioabsorbable suture anchor

METHODS AND DEVICES FOR SOFT TISSUE SECUREMENT

Devices and methods for improved soft tissue securement, in particular, tissue anchoring elements (30) and deployment (68) thereof. Such tissue anchoring elements may comprise a linkage element (36) and an array of spreading elements (38). Endoscopic devices (68) and methods are disclosed for deploying multiple anchoring elements to multiple sites and manipulating some associated linkage elements to approximate selected sites. Applications of such endoscopic devices and methods may include endoluminal therapy including gastroplasty, which may be used for the treatment of obesity and gastroesophageal disease. Such devices and methods may also include the attachment of a foreign body (20) to a tissue mass. Devices and methods may modify (44) mechanical properties of zones surrounding anchoring sites to decrease the likelihood that anchoring elements will pull out. Such modifications may include irritating or injuring the tissue within the zone, thereby causing a healing or scarification response ...

SUTURE ANCHOR AND ASSOCIATED METHOD OF IMPLANTATION

A suture anchor is provided comprising a generally quadrilaterally shaped body having a bore-abutting surface with a leading gripping edge at one end of the bore-abutting surface, a trailing gripping edge at the other end, and a closing surface having an arcuate portion and a linear portion engaging the leading and trailing gripping edges, respectively, generally opposite the bore-abutting surface. The body further defines a suture bore extending transversely therethrough and an inserter bore adapted to receive an insertion tool. A suture engages the suture anchor through the bore and is adapted to engage bodily tissue to be secured to the bone. Also provided are a knotless suture anchor configuration, an associated insertion tool, and a suture anchor kit, as well as a method of implanting a suture anchor in a bore in a bone.

SUTURE ANCHOR SYSTEM AND METHOD OF USE

A suture anchor system includes a suture anchor, having a flexible suture eyelet attached thereto, which serves as a flexible interface for a suture strand. The suture anchor is preferably bioabsorbable, and it has a flared feature on one side of the second or proximal end thereof. The flared feature renders the suture anchor asymmetrical in a plane that includes the longitudinal axis of the anchor. A method for anchoring soft tissue is also disclosed.

SURGICAL COMPOSITE BARBED SUTURE

In one embodiment, a medical device includes an elongate member (220) configured to be inserted into a body. The elongate member (220) has a first end portion (221) and a second end portion (223) opposite the first end portion (221). The elongate member (220) includes a retaining member (234) extending from the elongate member (220). The retaining member (234) is configured to anchor the elongate member (220) with respect to bodily tissue. The first end portion (221) of the elongate member (220) includes a coupling portion configured to be coupled to a filament' (210). The second end portion (223) of the elongate member (220) includes a coupling portion configured to be coupled to the filament (210).

SUTURE ANCHOR AND VOID FILLER COMBINATION

A novel combination of a suture anchor and a bone void filler composition. Also, a method of using the combination to affix soft tissue to mount a suture anchor in a bone.

TISSUE FASTENING DEVICES AND DELIVERY MEANS

A fastener delivery device for delivering a resilient fastener comprising a hollow, tubular needle having a distal end, a proximal end and a passage extending therethrough and a slit extending through a side thereof, a handle coupled with the needle, and a fastener deployment actuator coupled with the needle.

CANNULATED SUTURE ANCHOR

Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

KNOTLESS SUTURE ANCHOR AND DEPLOYMENT DEVICE

SUTURE ANCHOR AND APPROXIMATING DEVICE

An elastically curved suture anchor is resiliently straightened and delivered into tissue by a needle. When the needle is withdrawn, resumption of the curvature provides leverage for anchor rotation as the attached suture is pulled to fasten the anchor within the tissue. A fin at the proximal end of the anchor further increases the rotational leverage and expedites anchor fastening. When two or more anchors with connecting suture are delivered in series on a needle, the tension of the suture helps to draw the anchors together and approximates the pierced tissue.

GERD TREATMENT APPARATUS AND METHOD

An elongated member is configured for transoral placement into a stomach and includes a distal end effector having first and second members configured to engage stomach tissue. The first and second members are movable relatively toward one another generally in a first plane and the distal end effector is movable relative to the elongated member in a second plane generally transverse to the first plane. A third member of the distal end effector is configured to engage stomach tissue and is movable in a distal direction relative to the first and second members. A tissue securement member of the apparatus is coupled to at least one of the first and second members for securing together tissue engaged thereby.

SUTURE ANCHOR HAVING A SUTURE ENGAGING STRUCTURE AND INSERTER ARRANGEMENT

A suture anchor and inserter arrangement (10), including a suture anchor (11) for implanting in hard tissue, such as bone, and an inserter device (12) for installing the suture anchor in hard tissue. The suture anchor carries thereon a suture-engaging structure (14) formed from suture, which structure cooperates with working suture (13) associated with the inserter device so as to attach the working suture to the suture anchor.

METHODS AND DEVICES FOR THREADING SUTURES

Methods and devices are provided for anchoring suture to bone. In one embodiment, an elongate weave of fibers can be provided having a first portion with a first pick count and a second portion with a second pick count that is greater than the first pick count. The first portion can have a cross-section that deforms in response to a force that is applied thereto. The first portion can have a collapsible diameter and can have a bending stiffness that is lower than a bending stiffness of the second portion of the suture. The first portion can also have a first pattern that is different than a second pattern on the second portion of the suture. The first portion can be threaded into a suture anchor such that it can be doubled over upon itself. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

BONE PLATE SUTURE ANCHOR

A suture anchor insert (10) comprising a body (14) configured to be inserted into a hole (16) in a bone plate (12). The body has a proximal end (26), a distal end (28), a length (30) extending between the proximal and distal ends and substantially corresponding to a thickness of a bone plate, a sidewall (32), at least one plate engaging member (34) extending outwardly from the sidewall to secure the body to the bone plate, a recess (36) defined by the sidewall, and a transverse edge (38) formed on the sidewall. A crossbar (40) extends inwardly from the sidewall across the recess such that a free end of the crossbar is normally disposed distally of the transverse edge. The crossbar is flexible such that when a distally directed force is applied, the free end of the crossbar is positionable in the recess. The free end of the crossbar is engageable with the transverse edge to limit proximal motion of the crossbar.

SUTURE ANCHORING DEVICE AND METHOD

A suture anchor includes a rivet for insertion into a pre-drilled bore hole in bone, and a setting pin which extends through an axial aperture in the rivet. Preferably the setting pin has barbed legs which are radially expandable to frictionally engage the walls of the bore hole to secure the anchor therein. The setting pin includes a suture accommodating aperture, surface, and/or slot. In one embodiment, a snap-fitting detent and notch are engageable with each other to form an escapement mechanism to position the setting pin at discrete positions within the axial aperture of the rivet.

Suture Anchoring Device and Method

BONE FASTENER

... 2092400 9204874 PCTABS00011 A bone fastener (10) for fixing either a suture (20) or a rivet within a predrilled bone hole includes an expandable sleeve (14) having an axial bore and a pin (12) forcible insertible into the axial bore (18), the expandable sleeve (14) being configured to be insertible into a bore drilled in bone, at least a portion of the pin (12) having an outer diameter greater than the inner diameter of at least a portion of the axial bore. The fastener (10) is emplaced by inserting the sleeve (14) into a predrilled hole in the bone, and then forcing the pin (12) into the axial bore (18), so that the wider portion of the pin (12) presses outward against and expands the narrower portion of the sleeve (14), causing the sleeve (14) to forcibly contact the walls of the bone hole and fixing the pin (12) and sleeve (14) firmly in place within the hole. Also, apparatus (30) for emplacement of such a fastener (10) includes a holder (32) for holding the expandable sleeve (14) in ...

Fastener for Attaching Objects to Bones

APPARATUS AND METHOD FOR ANCHORING SUTURES

A suture anchor having a conical surface and a bore in which an end of an insertion tool is inserted. The insertion end of the insertion tool is made of material having elastic properties. The bore and base of the suture anchor are angled with respect to the central axis of the suture anchor and preferably are parallel to each other. During insertion, the suture anchor is reoriented to fit into the hole, thereby bending the elastic and of the insertion tool. When the suture anchor is within cancellous bone tissue, the elastic properties of the insertion tool deploys the suture anchor to an orientation in which the suture anchor cannot fit through the bone hole, thereby firmly anchoring the suture anchor in the human bone.

Apparatus and Methods of Use for Preventing Blood Seepage at a Percutaneous Puncture Site

STERNAL CLOSURE TECHNIQUE AND KIT PERFORMING SAME

An improved method of reducing and stabilizing the sternum after a sternotomy includes fixing a staple (42) at the anterior surface (26) of the sternum adjacent to each outlet (30) for trans-sternal wire sutures (24). The staples (42) are applied to the sternal halves (20, 22) to reinforce the bone adjacent to the suture outlets (30) so as to prevent the suture from cutting into the bone. As each suture loop (24) is tightened to adapt the sternum, the suture loop (24) abuts the staples (42) adjacent the suture outlets (30). The staples (42) are deformed under force applied by the suture loop (24) to indicate that the loop has been tightened to an optimum degree. A sterile surgical staple gun (40, 40') is employed to install the staples (42) in the sternal halves (20, 22). A kit (80) for performing the improved sternal reduction procedure includes a pre-sterilized staple gun (40, 40') loaded with surgical staples (42), as well as suture/needle assemblies (82). The staple gun (40') can be ...

KNOTLESS SUTURE ANCHOR ASSEMBLY

This invention is a one-piece (150) or two-piece (66, 68) knotless suture anchor assembly for the attachment or reattachment or repair of tissue to a bone mass. The assembly allows for an endoscopic or open surgical procedure to take place without the requirement of tying a knot for reattachment of tissue to bone mass. In one embodiment, a spike member (158) is inserted through tissue and then inserted into a bone mass. The spike member is securely fastened or attached to the anchoring sleeve (66) with a ratchet mechanism thereby pulling or adhering the tissue to the bone mass.

Composite anchor

For fixing the organization of the system, device and method

DEVICE OF COMPRESSION FOR the HEMOSTASE Of a BODY SUCH AS the LIVER

ULTRASONIC SUTURING

DISPOSITIF DE BLOCAGE POUR L'IMMOBILISATION D'UN FIL DE SUTURE

Dispositif de blocage pour l'immobilisation d'un fil de suture comprenant, d'une part, un corps rigide perforé au travers duquel est inséré d'une zone amont à une zone aval, le fil de suture à immobiliser et, d'autre part, des projections qui font saillie sur la face aval du corps perforé. Le dispositif comporte un corps présentant deux perforations aptes à recevoir respectivement l'une et l'autre extrémités libres d'un fil de suture munies chacune d'une aiguille. Réparation de formations tissulaires soumises à de fortes tensions.

SURGICAL DEVICE, IN PARTICULAR GUIDE OF DRILLING AND SURGICAL GRIP AND TOGETHER Of SURGICAL INSTRUMENTS INCLUDING/UNDERSTANDING THEM

Surgical implant for the repair of tendons and ligament capsules, comprises a hollow centre with exterior retention ribs

Cet implant est constitué par un clou (1) impactable dans un logement cylindrique foré dans une partie osseuse et dont le corps cylindrique (2) est traversé, d'une part et longitudinalement, par un canal axial (4) et, d'autre part et transversalement, par au moins un canal radial (5) traversable par au moins l'un des brins d'un fil de suture, ou permettant d'introduire ce brin dans le canal axial (4), tandis que sa tête (3) est munie d'une rainure diamétrale de protection des extrémités des brins de fil de suture, ledit corps (2) comportant, extérieurement et entre le canal radial et la tête, des bourrelets annulaires superposés (13) aptes à coincer les brins du fil de suture contre la paroi du logement, après impaction complète du corps du clou dans le logement.

DEVICE OF ANCHOR OF BONE TO FIX WEAVEEED CONNECTIVE TO THE BONE, AND, CONNECTIVE METHOD OF SETTING OF FABRIC TO THE BONE

construto para reparação cirúrgica

âncora de sutura sem nó

SURGICAL COMPOSITE BARBED SUTURE

In one embodiment, a medical device includes an elongate member (220) configured to be inserted into a body. The elongate member (220) has a first end portion (221) and a second end portion (223) opposite the first end portion (221). The elongate member (220) includes a retaining member (234) extending from the elongate member (220). The retaining member (234) is configured to anchor the elongate member (220) with respect to bodily tissue. The first end portion (221) of the elongate member (220) includes a coupling portion configured to be coupled to a filament' (210). The second end portion (223) of the elongate member (220) includes a coupling portion configured to be coupled to the filament (210).

MULTI-LOOP ADJUSTABLE KNOTLESS ANCHOR ASSEMBLY, ADJUSTABLE CAPTURE MECHANISM, AND METHOD FOR REPAIR

A suture anchoring system includes a mounting sleeve having an open distal end and an open proximal end defining a passageway therethrough. The system also includes a first elongated member with an anchor suture secured thereto and a tissue suture loop. A method for securing tissue includes passing a tissue suture loop through the tissue such that opposed first and second loop sections are formed, passing an anchor suture through first and second openings respectively defined by the opposed first and second loop sections, capturing the anchor suture after passing through the first and second openings with a first elongated member attached to the anchor suture, and securing the first elongated member attached to the anchor suture to a desired anchor hole in an anatomical site.

SUTURING APPARATUS AND METHODS

Embodiments of the invention provide methods and apparatus for suturing tissue penetrations made during minimally invasive surgery. One embodiment of an apparatus for suturing tissue penetrations comprises a shaft, suture capture surface coupled to the shaft and at least one pair of needles or other penetrating members advanceable from the shaft. The shaft can be detachably coupled to a handpiece. The surface has a deployed and a non-deployed configuration and is configured to capture a suture in the deployed configuration and retain it in the non-deployed configuration. The surface can be deployed by a frame or other expandable structure. The penetrating members are configured to be coupled to a suture and are advanceable from the shaft by an advancement member or other means to deliver a suture end portion to the deployed surface. Sutures can be contained in a replaceable cartridge detachably coupled to the apparatus.

TISSUE CAPTURING DEVICES

The present invention provides tissue capture devices (318) configured to hold tissue in a distorted configuration. The devices (318) may hold precaptured tissue in a distorted configuration or it may change their shape to cause the tissue to become deformed. Some embodiments of the device (318) alter the configuration in areas that remain external to the tissue, while other embodiments change their configuration in areas that are implanted in the tissue. Other embodiments may be mechanically altered to hold the tissue in a distorted shape.

SUTURE ANCHORING SYSTEM

A first extruded member is joined to a molded member to form an integrated component. In one exemplary form, a surgical anchor (12, 14) is overmolded onto the end of an extruded suture (16) to form a suture/anchor system (10).

SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS

A pelvic implant assembly (100) comprising a support portion (128) and an extension portion (124), a self-fixating tip (10, 120) connected to the extension portion, the self-fixating tip comprising a base (12) comprising a proximal base end (14) and a distal base end (16), the proximal base end being connected to the extension portion, the base comprising an internal channel (18) extending from the proximal base end and at least partially along a length of the base toward the distal base end, a fixed lateral extension (20) extending from the base.

TREATING VALVULAR INSUFFICIENCY

Dans un procédé de traitement d'insuffisance vasculaire chez un patient, une pluralité de filaments (2) est utilisée pour pénétrer le tissu à des emplacements distants d'un anneau (1) de la valvule à traiter. Les filaments engagés (2) sont tirés vers l'intérieur de manière à tirer le tissu engagé autour de l'anneau valvulaire (1) vers l'intérieur. Les filaments (2) sont alors fixés ave le tissu engagé dans la configuration tirée. Le tirage vers l'intérieur du tissu engagé améliore la fonction valvulaire en réduisant l'anneau valvulaire (1). En alternance ou en plus, des moyens d'ancrage peuvent être utilisés pour fixer les filaments à une zone solide du tissu, tirant ainsi le tissu engagé en direction des moyens d'ancrage pour améliorer davantage la fonction valvulaire.

SURGICAL KIT AND METHOD FOR PERFORMING LAPAROSCOPIC URETHROPEXY, AND APPARATUS EMPLOYED IN SAME

A surgical kit and method for performing laparoscopic urethropexy for the correction of female stress urinary incontinence are provided, as well as the apparatus employed in this procedure. The apparatus include a bone anchor, an anchor-insertion tool, a drill tamper tool, a suture retriever and a template. Urethropexy is accomplished by laparoscopically securing one or more anchors to the pubic bone using the anchor-insertion tool and the drill tamper tool.

GERD TREATMENT APPARATUS AND METHOD

An apparatus includes an elongated member configured for transoral placement into a stomach, and a distal end effector including first and second members configured to engage stomach tissue, e.g., tissue beyond the esophageal junction. The first and second members are movable relatively toward one another generally in a first plane, and the distal end effector is movable relative to the elongated member in a second plane generally transverse to the first plane. A third member of the distal end effector is configured to engage stomach tissue. The third member is movable in a distal direction relative to the first and second members. A tissue securement member of the apparatus is coupled to at least one of the first and second members for securing together tissue engaged thereby. The tissue securement member includes first and second parts, a suture attached to the first part, and a securing element attached to the suture and configured for engagement with the second part when the first and ...

ENDOSCOPIC ORGAN RETRACTION SYSTEM AND METHOD OF USING THE SAME

The present disclosure relates to a retraction system (100, 200, 300) for retracting body organs and/or body tissue in a body cavity. The retraction system includes an elongate shaft (102, 222, 302) configured and dimensioned to be inserted into the body cavity, a retractor device (106, 204, 306) operatively associated with the elongate shaft, the retractor device having a first configuration for insertion into the body cavity and at least a second configuration for retraction of the body organ, and at least one anchor member (110, 210, 310) operatively coupled to the retractor device for anchoring the retractor device to a wall of the body cavity.

Anastomotic Outlet Revision

A method is provided that involves endoscopically repairing or revising an anastomotic outlet previously formed in a portion of a patient's stomach as part of an earlier bariatric surgical procedure. The method may allow a surgeon to alter gastric functionality, such as gastric emptying or gastric dumping, by revising an existing anastomotic outlet. In this manner, the size of the outlet may be adjusted to change the rate at which contents pass from the stomach through the outlet. A surgical device may be inserted transorally through the patient's mouth, down through the esophagus and into the stomach or gastric pouch where it may be positioned in the vicinity of the anastomotic outlet. The surgical device may then be employed to revise the outlet to achieve a desired outlet configuration. The anastomotic outlet may be revised using an endoscopic fastening device that is configured to place a fastener in tissue. The fastening device may include an endoscopic suturing device to place one ...

Knotless suture anchor and driver

A suture anchor comprises a tubular body having an axial bore therethrough and having one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, such as threads. A lateral port passes through the body from the bore to the exterior surface. A length of suture for attaching soft tissue to bone passes down along the exterior surface over the one or more purchase enhancements, over a distal end of the body, up into the bore through and then back out of the bore and up along the exterior surface over the one or more purchase enhancements.

Knotless suture anchor for securing soft tissue to bone

A suture anchor for anchoring a length of suture to bone, the suture anchor comprising: an elongated expandable body having a distal end surface, a proximal end surface, an exterior sidewall extending between the distal end surface and the proximal end surface, and an interior passageway extending between the distal end surface and the proximal end surface; and an actuator comprising a distal end, a proximal end and a shaft extending between the distal end and the proximal end, the distal end of the actuator comprising a suture capture mechanism movably disposed relative to the elongated body; wherein the suture capture mechanism comprises a diamond-shaped structure configured to provide an opening into the interior thereof.

Apparatus and method for anchoring sutures

A suture anchor having a conical surface and a bore in which an end of an insertion tool is inserted. The insertion end of the insertion tool is made of material having elastic properties. The bore and base of the suture anchor are angled with respect to the central axis of the suture anchor and preferably are parallel to each other. During insertion, the suture anchor is reoriented to fit into the hole, thereby bending the elastic end of the insertion tool. When the suture anchor is within cancellous bone tissue, the elastic properties of the insertion tool deploys the suture anchor to an orientation in which the suture anchor cannot fit through the bone hole, thereby firmly anchoring the suture anchor in the human bone.

Fenestrated swivel anchor for knotless fixation of tissue

A method and device for knotless fixation of tissue. A swivel anchor having a rotatable implant is used to capture suture for surgical tissue repair without requiring suture knots. The implant may be provided with a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The implant includes a closed aperture to allow free sliding of a suture strand. The swivel anchor is secured in a hole in bone by advancing a fenestrated fixation device, such as a cannulated interference screw, over the body of the implant.

Devices, systems and methods for tissue repair

Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.

Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue

A device and method for fixating soft tissue to hard tissue with the aid of a suture anchor and a suture or with the aid of a headed anchor, wherein the anchor is forced into the hard tissue and then anchored therein by in situ liquefaction of a material having thermoplastic properties. The device includes a vibration tool and the anchor and possibly a support element, wherein the anchor includes an anchor foot and a thermoplastic sleeve. The thermoplastic sleeve includes the material having thermoplastic properties. The anchor foot has a distal end suitable for being forced into hard tissue and it is connected to the distal end of the vibration tool and the thermoplastic sleeve sits on a proximal face of the anchor foot , the vibration tool and/or a proximal portion of the anchor foot extending into or through the thermoplastic sleeve.

Surgical Filament Snare Assemblies

A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.

Method and apparatus for the treatment of tissue

This disclosure presents methods and devices for treating a defect in soft tissue of a patient. The methods and devices can employ fixation delivery apparatuses and fixation apparatuses positioned, at least in part, in or on the soft tissue to be repaired. In some aspects, these techniques include the use of this includes a fixation apparatus that includes at least one bone anchor connected to at least one tissue anchor by a shortenable elongate member.

Multi-loop adjustable knotless anchor assembly, adjustable capture mechanism, and method for repair

A suture anchoring system includes a mounting sleeve having an open distal end and an open proximal end defining a passageway therethrough. The system also includes a first elongated member with an anchor suture secured thereto and a tissue suture loop. A method for securing tissue includes passing a tissue suture loop through the tissue such that opposed first and second loop sections are formed, passing an anchor suture through first and second openings respectively defined by the opposed first and second loop sections, capturing the anchor suture after passing through the first and second openings with a first elongated member attached to the anchor suture, and securing the first elongated member attached to the anchor suture to a desired anchor hole in an anatomical site.

Method for Tissue Fixation

A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes a channel on an exterior surface and an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member.

Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system

Apparatus for securing a first object to a second object, the apparatus comprising: an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, the lumen comprising a first section and a second section, the first section of the lumen being disposed distal to the second section of the lumen, and with the first section of the lumen having a wider diameter than the second section of the lumen; at least one longitudinally-extending slit extending through the side wall of the elongated body and communicating with the lumen, the at least one longitudinally-extending slit having a distal end and a proximal end, with the distal end of the at least one longitudinally-extending slit being spaced from the distal end of the elongated body; and an elongated element extending through the lumen of the elongated body.

Ligament screw attachment device

A bone block assembly including a bone block having a proximal end, a distal end, a central axis defined therethrough, and a hole formed therethrough, and a threaded screw having a proximal end, a distal end, and a first eyelet formed on the proximal end of the threaded screw, the threaded screw configured to be received within the hole of the bone block. The first eyelet of the threaded screw is, at least partially, exposed on the proximal end of the bone block when the threaded screw is fully engaged with the bone block. The first eyelet of the threaded screw is configured to receive a suture.

Method And Apparatus For Coupling Soft Tissue To A Bone

A method and apparatus for surgically repairing a tear in soft tissue is disclosed. A plurality of collapsible tubes are positioned about the suture. The collapsible tubes are pushed through soft tissue and orthopedic mesh on opposite sides of a tear in soft tissue. When tension is applied to the suture, the tubes are compressed to fix the suture to the soft tissue and draw the soft tissue portions together.

Systems and methods for repairing tissue

Devices and methods for anchoring tissue to bone are provided herein. In various embodiments, the tissue anchor systems and methods can provide a length of suture having terminal ends coupled to one another via a sliding knot so as to define a suture loop having an adjustable length. After passing a portion of the suture loop through a damaged tissue and coupling the suture loop to bone, the sliding knot can be advanced to shorten the suture loop in order to secure the tissue to bone.

Composite interference screws and drivers

The present disclosure relates to an anchor. The anchor includes a suture bridge having a proximal end and distal end. The distal end of the suture bridge has a thickness greater than a thickness of the proximal end of the suture bridge. At least two ribs extend from the proximal end of the suture bridge to a proximal end of the anchor. At least one open helical coil wraps around the at least two ribs and extends, substantially, from the proximal end of the suture bridge to the proximal end of the anchor. The at least one open helical coil defines an internal volume communicating with a region exterior to the anchor through apertures between turns of the at least one open helical coil. The at least two ribs are engagable with a grooved shaft of a driver.

High strength suture with absorbable core and suture anchor combination

A novel high tensile strength semi-absorbable composite suture with minimized non-absorbable mass. The suture has a core made from a bioabsorbable polymer. The core is covered by a braided sheath. The braided sheath is made from an absorbable yarn and a bioabsorbable yarn. The bioabsorbable yarn is made from a least one filament of a bioabsorbable polymer. The nonabsorbable yarn is made from at least one filament of ultra high molecular weight polyethylene.

Fracture Fixation Device

Assemblies for securing a fractured or weakened bone within a subject's body are provided. The assembly includes a frame having an adjustable flexible member construct thereon. The adjustable flexible member construct is disposed in the frame such that the adjustable flexible member and the frame encircle the fractured or weakened bone.

METHOD AND APPARATUS FOR COUPLING SOFT TISSUE TO BONE

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. A bone engaging fastener is coupled to bone. A second fastener is coupled to a suture construction. The second fastener is coupled to the first fastener. Soft tissue is coupled to the suture construction. 1. (canceled)2. (canceled)3. A method of securing soft tissue to bone , comprising:locating a first anchor in a bone at a first location and a second anchor in the bone at a second location that is spaced from the first location with an adjustable suture construct extending between the first anchor and the second anchor to couple the first anchor to the second anchor with a segment of soft tissue positioned under the adjustable suture construct and over the bone between the first anchor and the second anchor, the adjustable suture construct including a suture with a first free end and a second free end, the first free end passing through a first longitudinal passage in the suture to form a first adjustable loop, the second free end passing through a second longitudinal passage in the suture to form a second adjustable loop, wherein, with the first free end extending through the first longitudinal passage in the suture to form the first adjustable loop and with the second free end extending through the second longitudinal passage in the suture to form the second adjustable loop, the first free end can be pulled through the first longitudinal passage to decrease a size of the first adjustable loop without decreasing a size of the second adjustable loop and the second free end can be pulled through the second longitudinal passage to decrease a size of the second adjustable loop without decreasing a size of the first adjustable loop; andpulling on the first free end of the suture to reduce a size of the first adjustable loop, wherein said pulling forces the segment of soft tissue against the bone.4. The method of further comprising pulling on the second ...

CERAMIC IMPLANT PLACEMENT SYSTEMS AND SUPERELASTIC SUTURE RETENTION LOOPS FOR USE THEREWITH

Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the placement of small diameter knotless anchors. For example, the implant placement system may include a cannulated tensioning device having disposed therein an elongate member of a suitably elastic metallic or polymeric material, such as nitinol, that includes at its distal end a loop of material suitable for suture retention. The implant placement system may further include high tensile strength knotless anchors provided with internal drive features that coordinate with torque-transmitting features unique to the driver devices of the present invention. 1. An implant placement system for affixing a soft tissue graft to a prepared socket in a boney surface via an anchoring implant , said system comprising:a. a cannulated driver device comprising a proximal handle portion having an open proximal end, an elongate tubular distal portion that defines the longitudinal axis of the system and includes an open distal end configured to receive said implant, and at least one driver lumen extending from said open proximal end to said open distal end;b. an elongate cannulated insertion device comprising a proximal hub portion having an open proximal end, a rigid distal portion that includes an open distal end, and at least one insertion lumen extending from open proximal end to said open distal end; andc. an elongate element formed from a suitably elastic metallic or polymeric material and having a first configuration characterized by first and second free proximal ends and distal end in the form of a ...

NON-SLIDING SOFT ANCHOR

A method for coupling tissue includes aligning a guide tool on an outer surface of a first tissue; forming a bore in the first tissue aligned with the guide tool; deploying a non-slip suture construct through the (wide tool and into the bore; adjusting a saddle along a flexible member to a position adjacent to a soft anchor, wherein the saddle prevents the flexible member from slideably moving relative to the soft anchor; and threading the flexible member through a second tissue to secure the second tissue to the first tissue. 17-. (canceled)8. A suture anchor system , comprising:a first anchor that is positionable in a bone hole; anda single braided suture with a first free end and a second free end, wherein, in a direction along the single braided suture from the first free end to the second free end, the single braided suture includes a first longitudinal section which is followed by a second longitudinal section which is followed by a third longitudinal section, the first longitudinal section and the third longitudinal section each comprising a section of the single braided suture having a hollow core, the second longitudinal section comprising a flat braided ribbon section of the single braided suture,wherein, within the suture anchor system, the single braided suture is formed into an adjustable suture construct, the adjustable suture construct including the first free end of the single braided suture extending: (i) into the single braided suture through a first opening in an outer wall of the third longitudinal section of the single braided suture; (ii) longitudinally within the single braided suture along the hollow core of the third longitudinal section of the single braided suture; and (iii) out of the single braided suture through a second opening in the outer wall of the third longitudinal section of the single braided suture to position the first free end of the single braided suture outside the single braided suture and form an adjustable loop portion ...

MEDICAL IMPLANT AND METHOD FOR HEART VALVE REPAIR

A sutureless implant for replacing damaged natural chordae tendineae of a human or possibly animal heart, the implant including a distal implant part, a proximal implant part, and an artificial chord. The distal implant part is configured to fit in a lumen of an implant delivery device and includes a self-spreading portion spreading radially outside when the distal implant part is released from the lumen, the self-spreading portion being capable of anchoring the distal implant part in human muscle tissue. The proximal implant part is configured to fit in the lumen of the implant delivery device and comprises a self-spreading portion spreading radially outside when the proximal implant part is released from the lumen, the self-spreading portion being capable of bearing on a tissue portion of leaflet tissue. The distal implant part and the proximal implant part are connected by the chord. 1. An implant for replacing or supplementing damaged natural chordae tendineae of a human or animal heart , the implant comprising a distal implant part , a proximal implant part and an artificial or allograft or xenograft chord;wherein the distal implant part is configured to fit in a lumen of an implant delivery device and comprises a self-spreading portion spreading radially outside when the distal implant part is released from the lumen, the self-spreading portion being capable of anchoring the distal implant part in tissue;wherein the proximal implant part is configured to fit in the lumen of the implant delivery device and comprises a self-spreading portion spreading radially outside when the proximal implant part is released from the lumen, the proximal implant part being capable of bearing on a tissue portion of leaflet tissue;wherein the distal implant part and the proximal implant part are connected by the chord;wherein the distal implant part comprises a shaft portion and a plurality of legs that in a non-released state lie against the shaft portion;wherein the shaft ...

Mechanical Retraction Via Tethering for Lung Volume Reduction

A device and method for reducing the volume of a tissue region, the device including a first fixation element, a second fixation element, and a tethering device, where the first and second fixation elements are slidably secured onto said tether, and the first and second fixation elements are radially self-expanding fixation elements.

Adjustable loop with locking knot

Systems, devices, and methods for soft tissue repair are generally provided and they generally involve the use of surgical filaments that are configured in a variety of manners to minimize and/or eliminate the tying of knots during a surgical procedure. Moreover, systems and devices described herein can provide for a reversible locking knot, which allows for additional tension to be applied to the repair if adjustments are required after the construct has been locked. The reversible locking knot can be “flipped” or actuated without requiring the knot to be untied and then retied. Further, systems and devices described herein can additionally be used to associate implantable bodies and suture constructs within a bone to secure soft tissue while not restricting the relative movements of operative sutures once the implantable body has been deployed.

KNOTLESS SUTURE ANCHOR AND METHOD OF USING SAME

A suture anchor including a first portion and a second portion. The first portion defining a first suture bore and having an angled distal surface that extends in a plane oblique to a longitudinal axis of the suture anchor. The second portion defining a second suture bore and having an angled proximal surface that is complementary to the angled distal surface. The angled proximate surface extends in a plane oblique to the longitudinal axis. In a first configuration, the first portion and the second portion are aligned along the longitudinal axis, and the first suture bore is aligned with the second suture bore. In a second configuration, the first portion and the second portion are offset with respect to the longitudinal axis, and the first suture bore is offset from the second suture bore to retain a suture within the first suture bore and the second suture bore. 1. A suture anchor comprising:a first portion defining a first suture bore and having an angled distal surface that extends in a plane oblique to a longitudinal axis of the suture anchor;a second portion defining a second suture bore and having an angled proximal surface that is complementary to the angled distal surface of the first portion, the angled proximate surface extends in a plane oblique to the longitudinal axis;wherein in a first configuration, the first portion and the second portion are aligned along the longitudinal axis of the suture anchor, and the first suture bore is aligned with the second suture bore; andwherein in a second configuration, the first portion and the second portion are offset with respect to the longitudinal axis, and the first suture bore is offset from the second suture bore to retain a suture within the first suture bore and the second suture bore.2. The suture anchor of claim 1 , wherein the first portion defines a first deployment shaft bore and the second portion defines a second deployment shaft bore; andwherein pulling the second portion towards the first portion ...

ADJUSTABLE KNOTLESS LOOPS

Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. An adjustable loop region of a flexible construct contained in a bore defined by a fastener is passed through a tissue. The adjustable loop is passed through the tissue. The fastener is passed back through the adjustable loop to fold the adjustable loop upon itself. The fastener is attached to the bone. An adjusting arm on the flexible construct is engaged to reduce the size of the adjustable loop and secure the soft tissue to the bone. 120.-. (canceled)21. A suture anchor assembly , comprising:an anchor for insertion into a hole in a bone, the anchor having a longitudinal axis that extends between a proximal end and a distal end of the anchor, the anchor including a first opening in the proximal end of the anchor which leads to a longitudinal interior bore in the anchor, the anchor further including a second opening in a side wall of the anchor which leads to a transverse passage in the anchor, the transverse passage proximate the distal end of the anchor and connecting the longitudinal interior bore in the anchor to a longitudinal exterior channel in the anchor that extends along an outer surface of the anchor; andan adjustable suture construct that includes a suture with a first free end that passes through a first longitudinal passage in the suture to form a first adjustable loop, wherein the adjustable suture construct is coupled to the anchor such that the first longitudinal passage in the suture: (i) extends along the longitudinal interior bore; (ii) passes through the transverse passage; (iii) exits the anchor through the second opening in the side wall of the anchor; and (iv) extends along the outer surface of the anchor in the longitudinal exterior channel in the anchor.22. The suture anchor assembly of claim 21 , wherein the first longitudinal passage in the suture extends along the entirety of the longitudinal interior bore in the anchor.23. The suture anchor assembly ...

KNOTLESS SUTURE ANCHOR WITH UNTHREADED NOSE

A suture anchor has a tubular body having an axial bore therethrough with one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole. These are preferably screw threads. A distal nose of the suture body has a smooth exterior surface. A length of suture passes down along the exterior surface over the purchase enhancements, over the distal nose, and up into the bore. The smooth exterior surface of the distal nose allows tension of the suture to be held by the engagement of the nose within the bone hole thus making it easier to obtain proper tension as the remaining portion is engaged into the bone hole to provide final fixation. 1. A method for affixing tissue to bone comprising the steps of:passing a length of suture through the tissue;passing the length of suture through a suture anchor which comprise a tubular body having an axial bore therethrough, one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, a lateral port through the body from the exterior surface into the axial bore and a distal nose, the suture passing in order distally down along the exterior surface over the one or more purchase enhancements, over the distal nose up into the bore, proximally up through the axial bore out through the lateral port and proximally along the exterior surface over the one or more purchase enhancements;embedding the remainder of the suture anchor into the bone adjacent to the tissue and trapping the suture between the suture anchor body and the bone; andwherein upon the occurrence of a failure, the suture slips with respect to the anchor.2. A method according to wherein the purchase enhancements comprise at least one screw thread and wherein the step of embedding the suture anchor into the bone comprises threading the suture anchor into the bone hole.3. A method according to wherein the step of embedding the suture anchor into the ...

METHODS AND SYSTEMS FOR KNOTLESS SUTURE ANCHORING

Methods and systems are provided for securing tissue to bone. A surgical system can include an outer shaft, an elongate inner shaft, and an implantable suture anchor assembly including first and second anchor bodies. The second, more proximal, anchor body has one or more openings extending through a side wall or through opposed side walls thereof. The inner shaft is configured to be received within the outer shaft and through the first and second anchor bodies such that a distal end of the inner shaft protrudes beyond a distal end of the first anchor body. The inner shaft is configured to be removably coupled to the first anchor body such that the inner shaft is configured to be rotated to cause a proximal portion of the first anchor body to move proximally into a lumen extending through the second anchor body and to occlude the opening in the second anchor body. 113-. (canceled)14. A surgical system , comprising:a suture anchor assembly including a distal anchor body and a proximal anchor body;wherein the proximal anchor body has an opening formed through a side wall thereof that is configured to receive a suture therethrough;with the proximal anchor body mated to a proximal end of the distal anchor body, the distal anchor body is configured to be driven into a bone hole;after the distal anchor body has been driven into the bone hole, the distal anchor body is configured to be rotated relative to the proximal anchor body such that the distal anchor moves proximally into the proximal anchor body, thereby occluding the opening and securing the suture between the bone and the proximal anchor body.15. The system of claim 14 , wherein the rotation of the distal anchor body also secures the suture between an inner wall of the proximal anchor body and an outer wall of the distal anchor body.16. The system of claim 14 , further comprising a driver configured to drive the distal and proximal anchor bodies into the bone hole and configured to be rotated to cause the rotation ...

MEDICAL IMPLANT AND METHOD FOR HEART VALVE REPAIR

A sutureless implant for replacing damaged natural chordae tedineae of a human or possibly animal heart, the implant including a distal implant part, a proximal implant part, and an artificial chord. The distal implant part is configured to fit in a lumen of an implant delivery device and includes a self-spreading portion spreading radially outside when the distal implant part is released from the lumen, the self-spreading portion being capable of anchoring the distal implant part in human muscle tissue. The proximal implant part is configured to fit in the lumen of the implant delivery device and comprises a self-spreading portion spreading radially outside when the proximal implant part is released from the lumen, the self-spreading portion being capable of bearing on a tissue portion of leaflet tissue. The distal implant part and the proximal implant part are connected by the chord. 1. An implant for replacing or supplementing damaged natural chordae tendineae of a human or animal heart , the implant comprising a distal implant part , a proximal implant part and an artificial or allograft or xenograft chord ,wherein the distal implant part is configured to fit in a lumen of an implant delivery device and comprises a self-spreading portion spreading radially outside when the distal implant part is released from the lumen, the self-spreading portion being capable of anchoring the distal implant part in tissue;wherein the proximal implant part is configured to fit in the lumen of the implant delivery device and comprises a self-spreading portion spreading radially outside when the proximal implant part is released from the lumen, the proximal implant part being capable of bearing on a tissue portion of leaflet tissue, andwherein the distal implant part and the proximal implant part are connected by the chord, the chord being looped through the proximal implant part by extending from the distal implant part through a first opening of the proximal implant part and a ...

SYSTEM AND METHOD FOR ALL-INSIDE SUTURE FIXATION FOR IMPLANT ATTACHMENT AND SOFT TISSUE REPAIR

A system for repairing a meniscus includes a suture that includes a first anchor, a second anchor, and a flexible portion connecting the first anchor and the second anchor. The flexible portion includes a self-locking slide knot between the first anchor and the second anchor. The system also includes a needle having a longitudinal extending bore and an open end. The bore is configured to receive the first anchor and the second anchor. The system further includes a body portion operatively connected to the needle at a distal end of the body portion. The body portion has a lumen. The system also includes a pusher configured to rotate and slide within the lumen of the body portion and the longitudinal extending bore of the needle. The pusher has first and second stop surfaces, each of which is constructed and arranged to engage a proximal end of the body portion. 128.-. (canceled)29. A medical instrument , comprising:a body portion having a proximal handle portion including an opening, a distal cannula extending from the handle portion, the distal cannula extending distally to a tip having a cutting surface, and a lumen extending through the handle portion and distal cannula;a pushrod positioned through the lumen and is slidingly received by the tip of the distal cannula and is rotatable relative to the body portion, the pushrod including a first stop surface positioned along the length of the pushrod,wherein, in a first position of the pushrod, the first stop surface contacts the body portion to prevent distal movement of the pushrod through the body portion, and in a second position of the pushrod, the first stop surface can pass freely through the opening of the body portion to allow distal movement of the pushrod through the body portion, such that, in the first position, the first stop surface is radially spaced from the opening of the body portion, and in the second position, the first stop surface is radially aligned with the opening.30. The instrument of claim ...

METHOD AND APPARATUS FOR ATTACHING TISSUE TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL KNOTLESS SUTURE ANCHOR SYSTEM, INCLUDING A RETRACTABLE SHEATH

Apparatus for securing a first object to a second object, the apparatus comprising: an anchor, the anchor comprising: an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, the lumen comprising a distal section and a proximal section, the distal section of the lumen having a wider diameter than the proximal section of the lumen; a window extending through the side wall of the elongated body and communicating with the lumen, the window being disposed in the vicinity of the intersection between the distal section of the lumen and the proximal section of the lumen and being sized to receive a first object therein; an elongated element extending through the lumen of the elongated body, the elongated element comprising a proximal end and a distal end; and a locking element mounted to the distal end of the elongated element and disposed in the distal section of the lumen; whereby, when the elongated body is disposed in a second object, and a first object extends through the window, and the locking element is thereafter moved proximally, proximal movement of the locking element causes the elongated body to capture the first object to the elongated body, whereby to secure the first object to the second object; and an inserter, the inserter comprising: a handle; a shaft having a distal end and a proximal end, with a lumen extending therebetween, the proximal end of the shaft being mounted to the handle and the distal end of the shaft being configured to releasably engage the elongated body; a retractable sheath disposed movably coaxially about the shaft; and a movable tab mounted to the proximal end of the retractable sheath for moving the retractable sheath relative to the shaft. 1. Apparatus for securing a first object to a second object , the apparatus comprising: an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, the lumen comprising a ...

TISSUE ANCHOR AND ANCHORING SYSTEM

A tissue anchor includes an anchor member formed from a generally flexible material. An activation member, which may be a tensioning member, causes proximal and distal end portions of the anchor member to move toward each other into a shortened configuration suitable for anchoring against the tissue. The tissue anchor can optionally be deployed and activated using a catheter device. 1. A tissue anchor comprising:a generally flexible anchor member capable of being inserted through tissue and moving between an elongate configuration and a shortened configuration suitable for anchoring against at least one side of the tissue, said anchor member having a proximal end portion, a distal end portion, and a compressible intermediate portion between said proximal end portion and said distal end portion, anda tensioning member operatively connected to said anchor member such that said anchor member can slide relative to said tensioning member, said tensioning member capable of being pulled to cause said anchor member to move relative to said tensioning member from said elongate configuration to said shortened configuration wherein the compressible intermediate portion can compress and thereby adjust to the thickness of the tissue between the proximal and distal end portions.2. The tissue anchor of claim 1 , wherein said generally flexible anchor member is formed from a material selected from at least one of: natural fibers claim 1 , synthetic fibers claim 1 , polymers claim 1 , and metals.3. The tissue anchor of claim 2 , wherein said tensioning member further comprises a suture.4. The tissue anchor of claim 1 , wherein said tensioning member further comprises a suture.5. The tissue anchor of claim 1 , wherein said tensioning member includes a stop member engageable with said anchor member.6. The tissue anchor of claim 5 , wherein said stop member further comprises a knot in said tensioning member.7. The tissue anchor of claim 1 , wherein said tensioning member extends ...

IMPROVEMENTS IN AND RELATING TO IMPLANTS

An implant assembly includes a first implant member, a second implant member, and a contractible element that is connected between the first and second implant members. The first implant member is configured to be placed against a first bone portion, and the second implant member is configured to be placed against a second bone portion. The contractible element is fixed at a first end to one of the first and second implant members, and movable at a second end with respect to one of the first and second implant members so as to induce tension in the suture, thereby providing a compressive force against the first and second bone portions. The second end can then be fixed with respect to the first and second implant members. The contractible element can contract in length in response to bodily fluids, thereby ensuring adequate post-operative compression. An instrument is also disclosed that is configured to implant the first and second implant members adjacent the first and second bone portions, respectively. 1. A method of deploying an implant comprising the steps of:selecting an instrument containing an implant assembly, the instrument having an opening and a deployment element that has an engagement member moveable between a first position and a second position relative to the implant assembly; andmoving the deployment element from the first position to the second position to engage the engagement member with a portion of the implant assembly and push the portion of the implant assembly through the opening.2. The method of claim 1 , wherein the implant assembly has a first member claim 1 , a second member claim 1 , and a contractible element connected between the first member and the second member claim 1 , and wherein the method further comprises the step of:positioning the instrument through at least one borehole formed in a bone;wherein the moving step pushes the second member out of the instrument on a respective side of a bone corresponding to the second ...

SUTURE ANCHOR AND METHODS OF KNOTLESS TISSUE FIXATION

Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices and loops having attached flexible materials that are pre-loaded onto modified knotless anchors (for example, swivel and/or screw-in suture anchors and/or push-in suture anchors with a distal eyelet) to position the self-locking, adjustable construct at the repair site. The systems allow for knotless tensioning of the tissue after the knotless anchors have been implanted. 1. A surgical system for tissue repairs , comprising:a fixation device comprising a body, a longitudinal axis, a proximal end and a distal end; anda tensionable construct pre-loaded on the fixation device, the tensionable construct comprising a flexible strand with a knotless closed loop, a splice formed within the flexible strand, and a flexible material attached to the knotless closed loop.2. The surgical system of claim 1 , wherein the flexible strand has a first free end and a second end which is a knot.3. The surgical system of claim 1 , wherein the flexible material is a bunching material provided with a plurality of attachment points to allow the flexible strand to slidingly pass therethrough.4. The surgical system of claim 1 , wherein at least a portion of the body is cannulated and the tensionable construct extends through the body of the fixation device.5. The surgical system of claim 1 , wherein the splice is located within the body of the fixation device claim 1 , and extends between the distal end and the proximal end of the body.6. The surgical system of claim 1 , wherein the tensionable construct consists of the flexible strand claim 1 , the splice claim 1 , the knotless closed loop claim 1 , and the flexible material.7. The surgical system of claim 1 , wherein the flexible strand is a suture formed of ultrahigh molecular weight polyethylene.8. The surgical system of claim 1 , wherein the body has an opening at a most proximal end ...

METHODS AND DEVICES FOR KNOTLESS SUTURE ANCHORING

Methods and systems are provided for securing tissue to bone. A surgical system can include a driver device, an elongate shaft receivable within the driver device and having a dilator feature at its distal end, and a capture suture extending through the shaft such that the capture suture's terminal end portions extend to a more proximal position on the driver and the capture suture forms a loop that extends through an opening formed through a side of the shaft. The loop is configured to receive at least one retention suture therethrough and can be tightened by pulling the capture suture's terminal ends, thereby coupling the retention suture with the suture anchor. Once the shaft is inserted into bone and the loop with the retention suture is closed, the suture anchor is driven distally towards the dilator features and into the bone to secure the retaining suture in the bone. 119-. (canceled)20. A surgical system , comprising:an elongate shaft, a distal tip of the elongate being configured to be inserted into a bone to initiate formation of a hole in the bone;an implantable member having a shape that tapers in a distal direction, the elongate shaft being positioned in an inner lumen of the implantable member, and the implantable member being configured to be advanced distally into the hole initiated by the distal tip of the elongate shaft and widen the hole as the implantable member is being advanced into the hole; andan implantable anchor configured to be advanced distally in the hole widened by the implantable member, the elongate shaft being positioned in an inner lumen of the implantable anchor, and the distal advancement of the implantable anchor being relative to the implantable member.21. The system of claim 20 , further comprising a driver; andwherein the elongate shaft is positioned in an inner lumen of the driver, and a handle of the driver is configured to be rotated to cause the distal advancement of the implantable anchor.22. The system of claim 20 , ...

Transosseous suture anchor

Examples of the invention include implants, instruments and methods for surgical transosseous attachment to a bone. More particularly, examples of the invention relate to knotless suture anchors.

SUTURE ANCHOR AND METHODS OF KNOTLESS TISSUE FIXATION

Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices and loops having attached flexible materials that are pre-loaded onto modified knotless anchors (for example, swivel and/or screw-in suture anchors and/or push-in suture anchors with a distal eyelet) to position the self-locking, adjustable construct at the repair site. The systems allow for knotless tensioning of the tissue after the knotless anchors have been implanted. 1. A method of tissue repair , comprising the steps of:providing a surgical device comprising a fixation device and a flexible construct extending through the fixation device, the flexible construct comprising a flexible strand with a splice formed within the flexible strand, an adjustable loop having an adjustable perimeter, a free end, a fixed end, and a flexible material attached to the adjustable loop;installing the fixation device into a first tissue after passing the fixation device and the flexible strand through a second tissue, without passing the flexible material or the free end of the flexible strand through the second tissue;pulling on the free end to bunch up the flexible material to secure the flexible material to the second tissue and provide tensioning of the second tissue relative to the first tissue; andsubsequently reducing a distance between the first and second tissues.2. The method of claim 1 , whereinthe first tissue is bone and the second tissue is soft tissue.3. The method of claim 1 , further comprising the steps ofsecuring the fixation device to a driver; andinserting the fixation device into a hole in the first tissue.4. The method of claim 1 , whereinthe splice is formed within the fixation device and the fixed end is a knot.5. The method of claim 1 , whereinthe flexible strand is a suture formed of ultrahigh molecular weight polyethylene.6. The method of claim 1 , wherein the flexible material is a suture claim 1 , ...

Catheter-based tissue remodeling devices and methods

Methods and systems for closing an opening or defect in tissue, closing a lumen or tubular structure, cinching or remodeling a cavity or repairing a valve preferably utilizing a purse string or elastic device. The preferred devices and methods are directed toward catheter-based percutaneous, transvascular techniques used to facilitate placement of the devices within lumens, such as blood vessels, or on or within the heart to perform structural defect repair, such as valvular or ventricular remodeling. In some methods, the catheter is positioned within the right ventricle, wherein the myocardial wall or left ventricle may be accessed through the septal wall to position a device configured to permit reshaping of the ventricle. The device may include a line or a plurality of anchors interconnected by a line. In one arrangement, the line is a coiled member.

FILAMENTARY FIXATION DEVICE AND ASSEMBLY AND METHOD OF ASSEMBLY, MANUFACTURE AND USE

The present invention, in one embodiment, includes a method of assembling a filamentary fixation device including obtaining a filamentary sleeve having a pathway therethrough, and a loading member and retriever member each positioned through at least a portion of the pathway, engaging a working suture with the retriever member, positioning at least a portion of the working suture in the pathway using the retriever member, and engaging the working suture with the loading member. 1obtaining a filamentary sleeve having a pathway therethrough, a loading member positioned through at least a portion of the pathway, and a retriever member positioned through at least a portion of the pathway;engaging a working suture with the retriever member;positioning at least a portion of the working suture in the pathway using the retriever member; andengaging the working suture with the loading member.. A method of assembling a filamentary fixation assembly, comprising the steps of: The present application is a continuation of U.S. patent application Ser. No. 13/792,982, filed on Mar. 11, 2013, the disclosure of which is incorporated herein by referenceSuture anchors are devices useful for fixing damaged soft tissue, such as tendons and ligaments, to bone. Presently, certain of these devices may be secured to bone either through a solid-body anchor having threaded mechanism or interference fit. Generally, these devices are constructed from metal, polymer, or bioresorbable material. Consequently, these suture anchor devices tend to be rigid structures that require a minimum amount of material to provide the strength needed to prevent catastrophic failure. This minimum amount of material dictates the volume of bone that must be removed for implantation to occur, which may be significant.Further, current suture anchors typically include an eyelet at one end containing the suture designated for anchoring. This configuration commonly requires the suture anchor to be inserted into bone ...

Adjustable knotless loops

Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. An adjustable loop region of a flexible construct contained in a bore defined by a fastener is passed through a tissue. The adjustable loop is passed through the tissue. The fastener is passed back through the adjustable loop to fold the adjustable loop upon itself. The fastener is attached to the bone. An adjusting arm on the flexible construct is engaged to reduce the size of the adjustable loop and secure the soft tissue to the bone.

SYNDESMOSIS CONSTRUCT

A knotless button includes a body defining a proximal portion and a distal portion. The body further defines an internal cavity and a first loop opening extending from the internal cavity to an outer surface of the body. A locking insert is slideably positioned within the internal cavity. The locking insert defines a second loop opening extending from a first side of the locking insert to a second side of the locking insert. The locking insert is slideably moveable from a first position to a second position within the internal cavity. A flexible strand defines a first adjustable loop extending through the first loop opening and the second loop opening. The locking insert is slideably moveable from a first position configured to allow adjustment of the first adjustable loop to a second position configured to lock the first adjustable loop. 1. A knotless button , comprising:a body defining a proximal portion and a distal portion, the body defining an internal cavity and a first loop opening extending from the internal cavity to an outer surface of the body;a locking insert slideably positioned within the internal cavity, the locking insert defining a second loop opening extending from a first side of the locking insert to a second side of the locking insert, and wherein the locking insert is slideably moveable from a first position to a second position within the internal cavity; anda flexible strand defining a first adjustable loop extending through the first loop opening and the second loop opening, wherein the locking insert is slideably moveable from a first position configured to allow adjustment of the first adjustable loop to a second position configured to lock the first adjustable loop.2. The knotless button of claim 1 , wherein the flexible strand extends from a first side of the locking insert to a second side of the locking insert through the second loop opening and from the second side of the locking insert to the first side of the locking insert beneath ...

DEVICES, SYSTEMS, AND METHODS FOR ATTACHING SOFT TISSUE TO BONE TISSUE

A suture anchoring device for fixing a soft tissue to a bone tissue is disclosed that enables the exchange of sutures between anchors after implantation. The suture anchoring device may include a body that is inserted into the bone tissue, a suture exchange fitting situation within a passage formed within the body, and one or more pre-loaded sutures looped through the suture exchange fitting and projecting proximally from a proximal opening formed in the body. Surgical kits and surgical methods for performing various repair procedures using one or more suture anchoring device are also disclosed. 119-. (canceled)20. A method of securing soft tissue to bone , the method comprising: a first proximal anchor body comprising a first inner lumen having a first proximal opening and external threads,', 'a first distal anchor tip comprising a first distal exterior portion, a first rigid proximal shaft, and a first eyelet, wherein the first rigid proximal shaft is configured to be received within the first inner lumen, and', 'a first elongated loading member threaded through the first eyelet, wherein the first elongated loading member comprises a first aperture;, 'inserting a first suture anchor into bone at a first location, the first suture anchor comprising a second proximal anchor body comprising a second inner lumen having a second proximal opening and external threads,', 'a second distal anchor tip comprising a second distal exterior portion, a second rigid proximal shaft, and a second eyelet, wherein the second rigid proximal shaft is configured to be received within the second inner lumen, and', 'a first suture extending from the second suture anchor;, 'inserting a second suture anchor into bone at a second location, the second suture anchor comprisingpassing the first suture through the soft tissue;passing the first suture through the first aperture of the first elongated loading member;pulling on one end of the first elongated loading member to pull the first suture ...

Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue

A device and method for fixating soft tissue to hard tissue with the aid of a suture anchor and a suture or with the aid of a headed anchor, wherein the anchor is forced into the hard tissue and then anchored therein by in situ liquefaction of a material having thermoplastic properties. The device includes a vibration tool and the anchor and possibly a support element, wherein the anchor includes an anchor foot and a thermoplastic sleeve. The thermoplastic sleeve includes the material having thermoplastic properties. The anchor foot has a distal end suitable for being forced into hard tissue and it is connected to the distal end of the vibration tool and the thermoplastic sleeve sits on a proximal face of the anchor foot, the vibration tool and/or a proximal portion of the anchor foot extending into or through the thermoplastic sleeve.

APPARATUS AND METHOD FOR SUTURING A TISSUE

An apparatus for suturing a tissue. The apparatus includes an outer tube, a thread threaded in the outer tube and at least one anchoring element located inside the outer tube and configured to be inserted into the tissue from an outlet end of the outer tube. The outer tube is configured to freely accommodate the thread and the at least one anchoring element, and the anchoring element includes a body adapted to be threaded on the thread and having at least locking element for locking the thread to the anchoring element. 1. An apparatus for suturing tissue , comprising:(a) an elongated shaft;(b) a needle disposed inside said elongated shaft such that a sharp end of the needle is in proximity to a distal end of said elongated shaft, wherein said needle is advanceable distally within said elongated shaft, to penetrate the tissue;(c) a handle disposed at a proximal end of said elongated shaft;(d) a thread disposed along the length of said elongated shaft; disposed inside said needle, along the length of said needle,', 'threaded on said thread, and', a tubular elongated body through which said thread is threaded, and', 'a fin configured to extend away from said body at a sharp angle with respect to said body, wherein said fin is configured at least to prevent the anchoring element from slipping back, out of the tissue;', 'and, 'each of said anchoring elements comprising], '(e) multiple anchoring elements bend after exiting the distal end of said elongated shaft, and', 'consecutively push the fin of each of said anchoring elements until the respective anchoring element is ejected out of the distal end of said elongated shaft and implanted into the tissue,', 'wherein the bending of said elongated flexible pusher and the pushing of the respective fin cause the respective anchoring element to travel in a curved route through the tissue., '(f) an elongated flexible pusher disposed inside said elongated shaft and being triggerable by said handle, wherein said elongated flexible ...

ADJUSTABLE ANCHOR SYSTEMS AND METHODS

An adjustable anchor system provides for securing tissue to bone and includes an anchor with a collapsible suture loop affixed thereto and a tissue suture connected to the collapsible suture loop. After the tissue suture is loaded into the tissue and the anchor implanted into the bone the collapsible loop is collapsed to tension the tissue suture. 1. A surgical filament snare assembly , comprising:an anchor capable of being fixated in bone and having a filament engagement feature;a first filament having a noose with first and second noose limbs connected to the filament engagement feature of the anchor and emerging from the anchor as first and second free filament limbs which are capable of being passed through tissue to be repaired and then passable through the noose to enable incremental tensioning of the tissue after the anchor is fixated in bone, the noose strangulating the free filament limbs when tension is applied to at least one of the free filament limbs and the noose; anda flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs through tissue and then the noose as a single unit.2. The assembly of wherein the sleeve is formed from a braided suture.3. The assembly of wherein the first filament is a braided suture and a section of one of the first and second free filament limbs serves as the sleeve.4. The assembly of wherein the sleeve section has fewer picks per unit length than the picks per unit length for the remainder of the first filament.5. The assembly of wherein the sleeve is positioned over the entire portion of the first and second free filament limbs before implantation of the anchor in a patient.6. The assembly of wherein the sleeve is further positioned beyond the filament engagement feature to cover at least some of the first and second noose limbs.7. The assembly of wherein the noose is retractable toward the anchor.8. The assembly of wherein the noose is formed ...

KNOTLESS SOFT TISSUE DEVICES AND TECHNIQUES

A tissue fixation device including a self-locking construct having a first loop, a second loop, and a first free end. A first tail is coupled to, and extends from, the first loop. A second tail is coupled to, and extends from, the second loop. An anchor is coupled to one of the self-locking construct or the first tail such that one of the self-locking construct or the first tail extend through the anchor. 120.-. (canceled)21. A tissue fixation system , comprising: a flexible tubular anchor; and', 'a single suture arranged into a self-locking suture construct, the single suture extending through a passage in the flexible tubular anchor to couple the self-locking suture construct to the flexible tubular anchor, the self-locking suture construct including a first adjustable loop, a second adjustable loop, and a first free end, wherein the first free end can be pulled to close the first adjustable loop;', 'a first flexible tail coupled to the first adjustable loop, the first flexible tail including a first elongated free tail portion that can be pulled to open the first adjustable loop; and', 'a second flexible tail coupled to the second adjustable loop, the second flexible tail including a second elongated free tail portion that can be pulled to open the second adjustable loop; and, 'a tissue fixation device, comprisingan arthroscopic cannula,wherein the first elongated free tail portion of the first flexible tail and the second elongated free tail portion of the second flexible tail extend longitudinally through the arthroscopic cannula from a first open end of the arthroscopic cannula to a second open end of the arthroscopic cannula.22. The tissue fixation system of claim 21 , wherein the passage in the flexible tubular anchor extends longitudinally within the flexible tubular anchor.23. The tissue fixation system of claim 21 , wherein the first adjustable loop and the second adjustable loop are spaced apart from one another in the self-locking suture construct.24. ...

Segmented Suture Anchor

Devices and methods for anchoring surgical sutures are provided. In general, a device as described includes an anchor assembly formed of a plurality of rigid anchor segments including a proximal segment and a distal anchor segment comprising a force transferring element, and at least one segment having at least one interdigitation element configured to create an engagement force between the at least one segment and a tissue. The device further includes a flexible member linking the plurality of anchor segments and configured to transition the anchor from a first, flexible configuration when the flexible member is in a relaxed state to a second, substantially rigid configuration when the flexible member is in a taut state.

Fixation devices, systems and methods for engaging tissue

System for fixation of leaflets of a heart valve including a delivery catheter having an elongated shaft, a proximal end portion and a distal end portion configured to be positioned proximate native leaflets of a heart valve from a remote vascular access point, the delivery catheter further includes a rotatable actuator rod having a threaded fastener at a distal end thereof, and a fixation device releasably coupled by a threaded connection to the threaded fastener of the actuator rod. The fixation device includes a first arm moveable between a closed position and an open position, a second arm moveable between a closed position and an open position. The fixation device further includes a first gripping element movable relative to the first arm in the open position, the first gripping element biased toward the first arm to capture a first leaflet of the heart valve therebetween, and a second gripping element movable relative to the second arm in the open position, the second gripping element biased toward the second arm to capture a second leaflet of the heart valve therebetween. The first gripping element and the second gripping element each includes a plurality of barbs extending therefrom, the plurality of barbs of each of the first gripping element and the second gripping element being aligned transversely in at least one row. The fixation device further includes a covering disposed on each of the first gripping element and the second gripping element, wherein the plurality of barbs of the first gripping element and the second gripping element, respectively, protrude through the covering.

TENSIONABLE CONTRUCTS WITH MULTI-LIMB LOCKING MECHANISM THROUGH SINGLE SPLICE AND METHODS OF TISSUE REPAIR

Systems and methods for soft tissue to bone repairs, without knot tying. Soft tissue repair systems include self-cinching constructs with a fixation device, a flexible strand with multiple flexible limbs, and a shuttle/pull device attached to the flexible strand to shuttle the multiple flexible limbs through the flexible strand and form a locking splice. 1. A surgical construct for tissue repairs , comprising:a tensionable construct comprising a flexible strand with a plurality of limbs, and a shuttling device attached to the flexible strand,wherein the shuttling device allows the plurality of limbs of the flexible strand to pass through the flexible strand and form a locking splice and multiple adjustable closed loops.2. The surgical construct of claim 1 , wherein the tensionable construct consists of the flexible strand with the plurality of limbs and the shuttling device attached to the flexible strand.3. The surgical construct of claim 1 , wherein the flexible strand is a suture or suture tape with an end region split into the plurality of limbs.4. The surgical construct of claim 1 , wherein the flexible strand is formed of ultrahigh molecular weight polyethylene.5. The surgical construct of claim 1 , wherein the shuttling device is a suture passing instrument or a wire loop.6. A surgical system for tissue repairs claim 1 , comprising:a fixation device comprising a body, a longitudinal axis, a proximal end, and a distal end; anda tensionable construct pre-loaded on the fixation device, the tensionable construct consisting of a flexible strand and a shuttling device attached to the flexible strand, wherein the flexible strand has one end which terminates in a knot and another end which is split into multiple limbs.7. The surgical system of claim 6 , wherein the flexible strand is affixed to the body of the fixation device by passing the flexible strand through an opening at a distal end of the body and tying the knot.8. The surgical system of claim 6 , wherein ...

SUTURE ANCHOR ASSEMBLY WITH SLIP FIT TIP

A suture anchor assembly including a suture anchor that incorporates a harder distal tip with a softer proximal body. The tip and body of the suture anchor are connected via a threaded plug, which also serves to connect the suture anchor to an inserter. 1. A method of tissue repair comprising: an anchor, the anchor comprising:', 'a tip having a proximal end and a distal end, a longitudinal axis extending between the proximal and distal ends, the tip eyelet extending transversely through the longitudinal axis of the tip, and a threaded cannulation formed within the tip extending from the proximal end of the tip to at least a region within the tip eyelet;', 'an elongated anchor body formed separately from the tip, the anchor body comprising an open cannula extending from a proximal end to a distal end; and', 'a threaded plug formed separately from both the anchor body and the tip, the plug configured to engage the cannulation of the tip;', 'wherein the tip eyelet and the anchor body eyelet are aligned when the proximal end of the tip is inserted into the distal end of the cannula of the anchor body; and, 'passing a suture through a tip eyelet and an anchor body eyelet of a suture anchor assembly, the suture anchor assembly further comprisingaxially and rotationally descending the plug within the cannulation of the tip, thus entrapping the suture between a distal end of the plug and a distal end of the cannulation of the tip.2. The method of claim 1 , wherein axially and rotationally descending the plug within the cannulation of the tip comprises axially and rotationally descending the plug with an inner shaft of an inserter.3. The method of claim 1 , further comprising fully hammering the suture anchor assembly into bone.4. The method of claim 2 , further comprising removing the inserter from the suture anchor assembly.5. The method of claim 1 , wherein the tip further comprises a cylindrical proximal portion and a tapered distal portion.6. The method of claim 5 , ...

SUTURE ANCHOR

An anchor device and system for coupling soft tissue to osseous tissue includes a stopper member that supports a loop of suture material. A fixing member includes features that allow it to be rigidly coupled to surrounding bone and thus hold the stopper member in a cavity within the bone. The loop of suture material, in turn, supports a second suture device, which is coupled to, and thus retains, the soft tissue. In certain embodiments, the fixing member includes a wadding structure having a generally elastic property. 1. An anchor comprising:a stopper portion and a fixing portion, said fixing portion having a surface disposed adjacent to a surface of said stopper portion so as to constrain a motion of said stopper portion, within a tissue matrix, said stopper portion including a wadding feature, said wadding feature including a flexible portion, said wadding feature having a surface region urged outwardly from a longitudinal axis of said stopper portion when in a constricted configuration, wherein said wadding feature does not require contact with said surrounding tissue matrix to transition from an un-constricted configuration to said constricted configuration and wherein said wadding feature urges a further surface region of said stopper portion into contact with said tissue matrix.2. An anchor as defined in wherein said wadding portion tends to rotate said further surface region of said stopper portion into contact with said surface matrix when said wadding portion is configured in said constricted configuration.3. An anchor comprising:a stopper portion and a fixing portion, said fixing portion having a surface disposed adjacent to a surface of said stopper portion so as to constrain a motion of said stopper portion within a tissue matrix, said stopper portion including a wadding feature, said wadding feature including a flexible portion, said wadding feature having a surface region urged outwardly from a longitudinal axis of said stopper portion when in a ...

BONE ANCHOR ASSEMBLY

A suture anchor including a sleeve with an optional solid tip and a threaded, hollow interior portion. A transverse hole passes through a distal end of the sleeve. An inner screw with a flat distal end and threads disposed on an outer surface and a driver head extension monolithically connected with a proximal end of the inner screw are also provided. 1. A suture anchor comprising:a sleeve with a solid tip and a threaded, hollow interior portion;a transverse hole passing through a distal end of the sleeve;an inner screw with a flat distal end and threads disposed on an outer surface; anda driver head extension monolithically connected with a proximal end of the inner screw.2. The suture anchor of claim 1 , wherein the driver head extension is configured to break off with a predetermined amount of torque.3. The suture anchor of claim 1 , wherein the sleeve is provided with a plurality of slits on the proximal end.4. The suture anchor of claim 3 , wherein the number of slits is four.5. The suture anchor of claim 1 , wherein the transverse hole is provided just above the solid tip of the sleeve.6. The suture anchor of claim 1 , wherein the inner screw has a wider portion near the proximal end between the threads and the driver head extension.7. The suture anchor of claim 1 , wherein the sleeve has a series of radial projections on an outer surface.8. The suture anchor of claim 1 , wherein the inner screw includes a square head.9. The suture anchor of claim 8 , wherein the driver head extension includes a square head of the same shape and size as the inner screw.10. The suture anchor of claim 1 , wherein the suture anchor is composed of a bio-absorbable material.11. A suture anchor comprising:a sleeve with a hollow interior portion;a transverse hole passing through a distal end of the sleeve;an inner screw with a flat distal end and threads disposed on the outer surface;a driver head extension monolithically connected with a proximal end of the inner screw.12. The ...

ORTHOPEDIC STABILIZATION DEVICE, KIT, AND METHOD

An orthopedic stabilization device is provided having a first button and a suture. The first button includes a base portion and a locking loop extending from a distal surface thereof, and a locking member slidably receiving the locking loop. At least a portion of the suture extends through the locking loop superior the locking member in the axial direction and at least a portion of the suture extends through the locking loop inferior the locking member in the axial direction such that a portion of said suture is frictionally retainable between said locking member and said locking loop when the suture is tensioned. The device may include a second button with the suture disposed between the first and second buttons such that the suture may be held in tension therebetween. 1. An orthopedic stabilization device comprising:a first button having a base portion and a locking loop, the base portion having a proximal surface, a distal surface, and one or more openings extending therethrough, the locking loop extending from a distal surface of the base portion in an axial direction;a locking member having an aperture sized to receive the locking loop such that the locking member is slidably engageable therewith;a second button having one or more openings extending therethrough; anda suture disposed between the first button and the second button, wherein said locking loop and said locking member are sized such that a portion of said suture is frictionally retainable between said locking member and said locking loop to thereby tie said first button to said second button.2. The orthopedic stabilization device of claim 1 , wherein at least a portion of the suture extends through the locking loop superior the locking member in the axial direction and at least a portion of the suture extends through the locking loop inferior the locking member in the axial direction.3. The orthopedic stabilization device of claim 1 , wherein the base portion of the first button includes first and ...

Devices, Systems, and Methods for Attaching Soft Tissue to Bone Tissue

A suture anchoring device for fixing a soft tissue to a bone tissue is disclosed that enables the exchange of sutures between anchors after implantation. The suture anchoring device may include a body that is inserted into the bone tissue, a suture exchange fitting situation within a passage formed within the body, and one or more pre-loaded sutures looped through the suture exchange fitting and projecting proximally from a proximal opening formed in the body. Surgical kits and surgical methods for performing various repair procedures using one or more suture anchoring device are also disclosed. 144-. (canceled)45. A tissue anchor comprising:a body comprising a proximal end, a distal end opposite the proximal end, a proximal opening at the proximal end, a distal opening at the distal end, and a passage extending longitudinally through the body between the proximal and distal openings;a flexible elongated element at least contributing to the defining of an aperture that opens in a direction substantially perpendicular to a longitudinal axis of the passage, the flexible elongated element being operably coupled to the body at first and second spaced-apart locations facilitating the aperture being maintained in an open condition; anda distal tip that is at least one of received or configured to be received in the distal opening, the flexible elongated element comprising a first tail and a second tail spaced-apart from the first tail by the first tail and the second tail respectively intersecting the distal tip at the first and second spaced-apart locations thereby facilitating the aperture being maintained in the open condition.46. The tissue anchor of claim 45 , wherein claim 45 , when the distal tip is received in the distal opening claim 45 , the aperture is located in the passage proximal the distal tip.47. The tissue anchor of claim 45 , wherein the distal tip comprises a molded material and a distal region of the first tail and a distal region of the second tail ...

Apparatus for coupling soft tissue to a bone

A flexible member for coupling tissue. The flexible member includes a tail and a self-locking construct. The tail includes a first end and a second end opposite to the first end. The tail defines a tail passageway proximate to the second end. The self-locking construct includes a first loop and an adjustable second loop. The second loop is slidably threaded through the tail passageway defined by the tail. The self-locking construct is configured such that passing the tail through the first loop so that the second loop extends into the first loop forms a tissue capture region defined by the self-locking construct. The tail passageway defined by the tail defines a locking member configured to secure the second loop to the first loop.

SYSTEMS AND METHODS FOR ORTHOPEDIC REPAIR

According to some embodiments, an implant for correcting a deformity in or near a joint of a subject includes an implant body having an internal lumen, a suture side hole or window extending through a wall of the implant body and providing access to the internal lumen through an exterior of the implant body, a tension assembly comprising a first bone anchor and a second bone anchor, wherein the first and second bone anchors are configured to be placed on opposite sides of the implant body, and an adjustable suture loop coupling the first bone anchor to the second bone anchor, wherein at least a portion of the at least one adjustable suture loop is positioned within the internal lumen of the implant body. 1. An implant for correcting a deformity in or near a joint of a subject , comprising: wherein the implant body comprises a suture side hole extending through the wall of the implant body, the suture side hole being positioned between the first and second ends of the implant body, and', 'wherein the suture side hole provides access to the internal lumen from an exterior of the implant body; and, 'an implant body comprising: an internal lumen extending from a first end to a second end of the implant body; a wall that defines the internal lumen; and an expandable element provided at the first end of the implant body, wherein the expandable element forms an integrated bone anchor, and wherein the implant body is rigid; and'} the tension assembly further comprising at least one adjustable suture loop coupling the second bone anchor to the wedge insert, wherein at least a portion of the at least one adjustable suture loop is positioned within the internal lumen of the implant body;', 'wherein the at least one adjustable suture loop comprises at least one suture tail that extends through the suture side hole and to an exterior of the implant body, wherein, upon deployment and fixation of the integrated bone anchor and the second bone anchor within bone bores of a subject ...

METHOD AND APPARATUS FOR COUPLING ANATOMICAL FEATURES

A method of coupling a first portion of an anatomy to a second portion of the anatomy includes coupling first and second bones of the anatomy with a bone-tendon-bone implant. The bone-tendon-bone implant has a first bone end, a second bone end and a replacement tendon between the first and second bone ends. The first and second bone ends are positioned in corresponding first and second bores of the first and second bones. The first bone end is secured to the first bone with a first bone anchor. A second anchor coupled to the bone-tendon-bone implant is passed through and outside the second bore. The second anchor is coupled to an adjustable suture construct having two adjustable suture loops. Tensioning at least one of first and second ends of the adjustable suture construct tensions the replacement tendon and positions the first bone relative to the second bone. 120.-. (canceled)21. A bone fixation assembly , comprising:an orthopedic button; andan adjustable suture construct coupled to the orthopedic button, the adjustable suture construct comprised of a suture with a first suture portion passing through the orthopedic button from a first side of the orthopedic button to a second side of the orthopedic button and then back through the orthopedic button from the second side of the orthopedic button to the first side of the orthopedic button so as to form a first looped portion of the suture retained along the second side of the orthopedic button for coupling the adjustable suture construct to the orthopedic button, the suture further including a second suture portion passing through the orthopedic button from the first side of the orthopedic button to the second side of the orthopedic button and then back through the orthopedic button from the second side of the orthopedic button to the first side of the orthopedic button so as to form a second looped portion of the suture retained along the second side of the orthopedic button for coupling the adjustable suture ...

WEDGE PUSH-IN SUTURE ANCHOR

Methods and anchor devices for repairing soft tissue with a suture are provided. An anchor device comprises an elongate body having a proximal end, a distal end, and a first lumen extending from the proximal end, the first lumen having at least one face which is sloped relative to the central axis of the elongate body such that the cross-sectional area of the first lumen decreases in the proximal direction. The anchor device also comprises a suture locking wedge movably disposed at least partially within the first lumen, the wedge consisting of a sloped face such that the cross-sectional area of the wedge decreases in the proximal direction, the sloped face of the wedge contacting the sloped face of the first lumen when the wedge is in a suture locking position, and a wedge lumen through the wedge located away from the proximal tip, wherein the wedge lumen is configured to allow the suture to pass through the wedge. 152.-. (canceled)53. A method of securing a portion of tissue to a portion of bone using an anchor device , the method comprising;inserting the anchor device into the portion of bone;passing suture material from the anchor device around the portion of tissue;shuttling repair suture with a loop;pulling repair suture to a threshold amount of tension; andremoving excess tail of the repair suture.54. The method of claim 53 , wherein the suture material is passed through the portion of tissue.5562.-. (canceled)63. An anchor device for repairing soft tissue with a suture claim 53 , the anchor device comprising:an elongate body having a proximal end, a distal end, and a first lumen extending from the proximal end, the first lumen having at least one face which is sloped relative to the central axis of the elongate body such that the cross-sectional area of the first lumen decreases in the proximal direction;a suture locking wedge movably disposed at least partially within the first lumen; anda suture located in the first lumen of the elongate body between a ...

PLANTAR PLATE REPAIR

A kit for plantar plate repair may include implants and instruments specific to the procedure, such as an implant assembly, a needle assembly, a distractor, a needle driver, and k-wires. Methods of assembling the items of the kit and methods of plantar plate repair are disclosed. 1. A method for plantar plate repair , comprising:exposing a metatarsophalangeal joint, wherein the metatarsophalangeal joint comprises a metatarsal, a proximal phalanx, and a plantar plate;providing a suture having a first free end and a second free end opposite the first free end;passing the suture through a distal portion of the plantar plate;passing the first and second free ends of the suture in a single motion through a proximal epiphysis of the proximal phalanx; andsecuring the first and second free ends of the suture together adjacent to the dorsal aspect of the proximal epiphysis of the proximal phalanx.2. The method of claim 1 , wherein passing the first and second free ends of the suture in a single motion comprises passing the first and second free ends of the suture simultaneously.3. The method of claim 1 , comprising:providing a first suture shuttle and a second suture shuttle;passing the first and second suture shuttles through the proximal epiphysis of the proximal phalanx;passing the first free end of the suture through the first suture shuttle;passing the second free end of the suture through the second suture shuttle;passing the first free end of the suture through the proximal epiphysis of the proximal phalanx by pulling a proximal end of the first suture shuttle;passing the second free end of the suture through the proximal epiphysis of the proximal phalanx by pulling a proximal end of the second suture shuttle;reducing the proximal phalanx relative to the metatarsal;tensioning the suture;tying the first and second free ends of the suture together with a knot, wherein the knot rests against the dorsal aspect of the proximal epiphysis of the proximal phalanx; andclosing ...

METHOD FOR COUPLING SOFT TISSUE TO A BONE

A method for coupling tissue with a flexible member including a tail and a self-locking construct coupled to the tail. The self-locking construct includes an adjustable first loop and an adjustable second loop coupled thereto. The method includes implanting an anchor in bone, the anchor slidably mounted to the tail. The tail is positioned relative to the tissue. An end of the tail is inserted through the first loop. The tail is passed through the first loop, the second loop is pulled into the anchor, and the self-locking construct is positioned relative to the tissue. The self-locking construct is tightened against the tissue by pulling on an end of the self-locking construct. The first loop is tightened onto the second loop. 120.-. (canceled)21. A method for forming a flexible member for coupling tissue , the method comprising:forming a first loop of a self-locking construct of the flexible member by passing a second end of the construct through a first sleeve defined by the self-locking construct proximate to a first end of the self-locking construct;forming a second loop of the self-locking construct of the flexible member by passing the second end of the self-locking construct through a second sleeve defined proximate to an end of a flexible tail, thereby coupling the self-locking construct to the tail, and then passing the second end through a third sleeve defined by the self-locking construct proximate to the first loop;wherein the self-locking construct is configured such that passing the tail through the first loop so that the second loop extends into the first loop and forms a tissue capture region defined by the self-locking construct; andwherein the flexible tail defines a locking member at the second sleeve that is configured to secure the second loop to the first loop.22. The method of claim 21 , further including: 'coupling a first tail portion to a second tail portion.', 'forming the flexible tail, including23. The method of claim 21 , further ...

FLIPPING-TYPE GRAFT FIXATION DEVICE AND METHOD WITH LOW FLIPPING DISTANCE

A graft retention device has an elongated body with a first and second ends and a midpoint therebetween. A pair of elongated slots formed through the body defines a tang therebetween. A graft retention loop is disposed over the tang and is slidable therealong. A trailing line connects to the body adjacent the slots and extends therefrom through the graft retention loop toward the first end. Tension applied to the trailing line thus tends to urge the graft retention loop away from the first end and toward the midpoint. 1. A graft retention device comprising:An elongated body having a first end and a second end, a midpoint therebetween, and an upper surface and a lower surface;a pair of elongated slots through the body from the upper surface to the lower surface, the slots defining a tang therebetween;a graft retention loop disposed over the tang and slidable therealong from a first position closer to the first end and a second position closer to the midpoint; anda trailing line connected to the body adjacent the slots and extending therefrom, when the graft retention loop is in the first position, through the graft retention loop toward the first end such that tension applied to the trailing line will thus tend to urge the graft retention loop away from the first position and toward the second position.2. A graft retention device according to wherein the trailing line is attached to the tang.3. A graft retention device according to and further comprising a first aperture through the tang claim 2 , the trailing line being connected to the tang by passing through the first aperture.4. A graft retention device according to wherein the first aperture passes laterally through the tang.5. A graft retention device according to wherein the first aperture is elongated longitudinally along the tang so as to comprise a slot therethrough whereby tension applied to the trailing line for reorienting the body will tend to urge the trailing line toward the midpoint and further ...

METHOD FOR TISSUE FIXATION

A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes a channel on an exterior surface and an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member.

METHOD AND APPARATUS FOR ATTACHING TISSUE TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL KNOTLESS SUTURE ANCHOR SYSTEM

Apparatus for securing an object to bone, the apparatus comprising: an anchor, the anchor comprising: a body comprising an opening for receiving a filament therein; and a locking element movably mounted to the body for selectively locking the filament to the body; and an inserter for deploying the anchor in bone, the inserter comprising: a handle; an overtube extending distally from the handle; a carriage movably mounted to the handle; a shaft movably mounted within the overtube and connected to the carriage and releasably connected to the body of the anchor, the shaft being hollow; and a rod movably mounted within the shaft and connected to the locking element. 1. Apparatus for securing an object to bone , said apparatus comprising: a body comprising an opening for receiving a filament therein; and', 'a locking element movably mounted to said body for selectively locking said filament to said body; and, 'an anchor, said anchor comprising a handle;', 'an overtube extending distally from said handle;', 'a shaft movably mounted within said overtube and releasably connected to said body of said anchor, said shaft being hollow; and', 'a rod movably mounted within said shaft and connected to said locking element;, 'an inserter for deploying said anchor in bone, said inserter comprisingwherein at least a portion of said shaft is flexible.2. Apparatus according to wherein the distal end of said overtube is curved.3. Apparatus according to wherein said shaft is formed out of a shape memory alloy.4. Apparatus according to wherein said shaft comprises a plurality of slits formed therein.5. Apparatus according to wherein each of said plurality of slits extends substantially perpendicular to the longitudinal axis of said shaft.6. Apparatus according to wherein said handle comprises a carriage movably mounted to said handle claim 1 , and further wherein said shaft is mounted to said carriage.7. Apparatus according to wherein said carriage comprises a drive head extending out of ...

Method and apparatus for re-attaching the labrum to the acetabulum, including the provision and use of a novel suture anchor system

Apparatus for securing an object to bone, the apparatus comprising: an anchor assembly comprising an anchor and an actuation element extending from the anchor, wherein applying a force to the actuation element when the anchor is disposed in a hole formed in a bone secures the anchor to the bone; and an inserter for deploying the anchor assembly in a hole formed in a bone, the inserter comprising: a shaft for releasably engaging the anchor; and a force delivery mechanism mounted to the shaft and connected to the actuation element, the force delivery mechanism being constructed so as to receive an input force from an external source and to selectively apply an output force to the actuation element, with the force delivery mechanism being constructed so that the magnitude of the output force is limited regardless of the magnitude of the input force.

LIGAMENT FIXATION DEVICE AND METHOD

Systems and methods for providing fixation of soft tissue (for example, ligament) to bone by employing a novel multi-piece device. The novel multi-piece device is a ligament fixation system consisting of a larger collar that is initially impacted into a bone aperture, and a smaller plug/bullet-shaped part that is impacted into the larger collar. During ligament repair/reconstruction, the graft is inserted into a bone tunnel with sutures from the graft extending outside the tunnel. The sutures are passed through a collar of the multi-part device and the collar is then inserted into the bone tunnel. The graft suture strands may be tensioned. Subsequently, the smaller plug/bullet-shaped part is impacted into the collar thereby maintaining the tension on the graft sutures. The plug/bullet-shaped part is tightened after the desired tension on the suture is achieved. 1. An anchor system , comprisinga first part including a first cannulation; anda second part insertable into the first cannulation,wherein the second part includes a slot extending across a width of a proximal collar of the second part.2. The anchor system as recited in claim 1 , comprising a flexible strand trapped between the first and second parts.3. The anchor system as recited in claim 2 , wherein a portion of the flexible strand is received within the slot.4. The anchor system as recited in claim 1 , wherein the first part is a collar and the second part is a plug.5. The anchor system as recited in claim 4 , wherein the plug includes a second cannulation.6. The anchor system as recited in claim 4 , wherein the collar includes a body and a ridge that extends from the body claim 4 , wherein the body includes outer threads claim 4 , barbs claim 4 , or teeth.7. The anchor system as recited in claim 6 , wherein the plug includes a cylindrical outer wall claim 6 , and the proximal collar extends from the cylindrical outer wall.8. The anchor system as recited in claim 7 , wherein an outer diameter of the ...

METHODS, DEVICES, AND SYSTEMS FOR BLOOD FLOW

Various exemplary methods, systems, and devices for blood flow are provided. In general, an implant can be configured to be implanted in bone and to delay clotting of blood flowing from the bone. The implant can include an anti-coagulation agent to delay the clotting of the blood. The anti-coagulation agent can be a coating on the implant, can be natural to a material forming the implant, or can be impregnated into a material forming the implant. In an exemplary embodiment, the implant is implanted in a bone in a surgical procedure for securing a soft tissue to bone, such as a rotator cuff repair procedure or an anterior cruciate ligament (ACL) repair procedure. 1. A surgical device , comprising:a biocompatible tubular member configured to be implanted in a bone of a patient, the tubular member having a solid sidewall defining an inner lumen extending through the tubular member such that blood can flow into the inner lumen through a first open end of the inner lumen and out of the inner lumen through a second open end of the inner lumen, and the tubular member having an anti-coagulation agent on the solid sidewall.2. The device of claim 1 , wherein the inner lumen is open and free of occlusions.3. The device of claim 1 , wherein the inner lumen has a plug removably disposed therein that occludes the inner lumen such that the blood cannot flow out of the inner lumen through the second open end of the inner lumen until the plug is removed from the inner lumen claim 1 , the plug being configured to be implanted in the patient with the tubular member.4. The device of claim 3 , wherein the plug has a suture extending therefrom claim 3 , the suture being configured to extend from inside the patient's body to outside the patient's body and to be pulled from outside the patient's body and thereby remove the plug from the inner lumen of the tubular member.5. The device of claim 3 , wherein the plug includes a knitted material that occludes the inner lumen until the knitted ...

LIGAMENT FIXATION DEVICE AND METHOD

Systems and methods for providing fixation of soft tissue (for example, ligament) to bone by employing a novel multi-piece device. The novel multi-piece device is a ligament fixation system consisting of a larger collar that is initially impacted into a bone aperture, and a smaller plug/bullet-shaped part that is impacted into the larger collar. During ligament repair/reconstruction, the graft is inserted into a bone tunnel with sutures from the graft extending outside the tunnel. The sutures are passed through a collar of the multi-part device and the collar is then inserted into the bone tunnel. The graft suture strands may be tensioned. Subsequently, the smaller plug/bullet-shaped part is impacted into the collar thereby maintaining the tension on the graft sutures. The plug/bullet-shaped part is tightened after the desired tension on the suture is achieved. 1. A method , comprising:securing at least one flexible strand to a tissue to be fixated;securing the tissue within a bone tunnel so that the at least one flexible strand exits a cortical aperture of the bone tunnel;sliding a first part of a multi-part anchor system over the at least one flexible strand;securing the first part within the bone tunnel;subsequently, tensioning the at least one flexible strand; andsubsequently, securing a second part of the multi-part anchor system within the first part while maintaining the tension on the at least one flexible strand.2. The method as recited in claim 1 , comprising:tying at a knot in the at least one flexible strand over the second part.3. The method as recited in claim 2 , comprising:securing the knot within a groove of the second part.4. The method as recited in claim 1 , wherein the flexible strand is a suture claim 1 , a suture tape claim 1 , or a suture chain.5. The method as recited in claim 1 , wherein the multi-part anchor system consists of the first part and the second part.6. The method as recited in claim 1 , wherein the first part is a fully ...

SURGICAL CONSTRUCTS FOR TISSUE FIXATION AND METHODS OF TISSUE REPAIRS

Surgical constructs, assemblies and methods of tissue fixation are disclosed. A surgical construct includes a spreadable web attached to a plurality of peripheral strands. The spreadable web may be tensionable and may include one or more flexible filaments or strands. At least one of the filaments is coupled to the peripheral strands. The filaments may extend from the peripheral strands in different directions and/or orientations. The spreadable web is expandable and can be adjusted to various widths. The spreadable web may be knotless. The spreadable web may be tensionable. The surgical construct may be attached to one or more knotted or knotless fixation devices 1. A surgical construct comprising:a first peripheral member separate from a second peripheral member; andat least one filament coupled to the first and second peripheral members, the at least one filament passing through or around the first and second peripheral members at least one time and at multiple locations, to form a web extending between the first and second peripheral members.2. The surgical construct of claim 1 , wherein the at least one filament passes through or around the first and second peripheral members a plurality of times.3. The surgical construct of claim 1 , wherein the first peripheral member and the second peripheral member extend in a first direction claim 1 , and the second peripheral member is separate from the first peripheral member and extending in a plane laterally spaced from the first peripheral member.4. The surgical construct of claim 1 , wherein the at least one filament extends in a second direction which is different from the first direction.5. The surgical construct of claim 1 , wherein claim 1 , when the first peripheral member is spread apart from the second peripheral member claim 1 , the web expands in at least one dimension.6. The surgical construct of claim 1 , wherein the web has a triangular configuration.7. The surgical construct of claim 1 , wherein the web ...

Surgical Constructs for Tissue Fixation and Methods of Tissue Repairs

Surgical constructs, assemblies and methods of tissue fixation are disclosed. A surgical construct includes a spreadable web attached to a plurality of peripheral strands. The spreadable web may be tensionable and may include one or more flexible filaments or strands. At least one of the filaments is coupled to the peripheral strands. The filaments may extend from the peripheral strands in different directions and/or orientations. The spreadable web is expandable and can be adjusted to various widths. The spreadable web may be knotless. The spreadable web may be tensionable. The surgical construct may be attached to one or more knotted or knotless fixation devices

APPARATUS AND METHODS FOR POSITIONING AND SECURING ANCHORS

Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism, either within the anchor itself or positioned proximally of the anchor, may allow for the uni-directional translation of the anchor while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This uni-directional anchor locking mechanism facilitates cinching of the tissue plication between the anchors, and it may be utilized in one or several anchors in cinching a tissue fold. 1. A surgical cinching assembly , comprising:a body having a tapered or profiled interior lumen;a suture extending through the interior lumen of the body;an interference element movable within the interior lumen to resist movement of the body along the suture in a first direction.2. The surgical cinching assembly of wherein the interference element comprises a rolling element having a round shape.3. The surgical cinching assembly of wherein the rolling element comprises a ball.4. The surgical cinching assembly of wherein the interference element is configured to friction lock or interference fit the suture between the interference element and a wall of the interior lumen when the body is moved in the first direction relative to the suture.5. The surgical cinching assembly of wherein the body is tubular with an end cap at a first end of the tubular body claim 2 , and the suture passing through a hole in the end cap claim 2 , with the hole having a diameter less than the diameter of the rolling element.6. The surgical cinching assembly of wherein the body is tubular claim 1 , the tapered or profiled interior lumen is at a second end of the body ...

Dynamic ligament repair device

A dynamic ligament repair device includes a suture, a femoral side suture anchor and a threaded screw or housing implant. The screw is configured for placement in the tibia, or alternatively in the femur. A spring is housed inside an axial bore in the threaded screw. In some embodiments, the spring is a compression spring. A moveable spring button is positioned inside the axial bore adjacent a distal end of the spring. The spring button engages the spring directly in some embodiments. In alternative embodiments, an intermediate structure such as a spacer is positioned between the spring button and the spring. The suture extends between the spring button and the suture anchor. When the joint flexes or extends, the spring button travels inside the axial bore and dynamically compresses or relaxes the spring.

SURGICAL CONSTRUCTS AND METHODS OF TISSUE REPAIR

Systems and methods for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) to achieve novel remplissage and soft tissue repairs. 1. A method of stabilizing a bone or joint lesion , comprising the steps of:installing, through a first cannula, a plurality of fixation devices in a bone defect, each of the fixation devices including a flexible construct extending through the fixation device, the flexible construct comprising a flexible strand and a corresponding shuttling/pulling device attached to the flexible strand;passing, through a second cannula, each of the flexible strands through soft tissue to be fixated, at different locations within the soft tissue;passing each of the flexible strands through an eyelet of the shuttling/pulling devices; andpulling on each of the shuttling/pulling devices to allow each of the flexible strands to form a splice through itself and within the fixation device, and provide tensioning of the soft tissue to be fixated relative to the bone defect.2. The method of claim 1 , wherein the bone defect is a Hill-Sach's lesion.3. The method of claim 1 , wherein the bone defect is a humeral head lesion claim 1 , a femoral head lesion claim 1 , a tibial head lesion claim 1 , a distal tibial lesion claim 1 , or a calcaneous lesion.4. The method of claim 1 , wherein the bone defect is a Hill-Sach's lesion claim 1 , the first cannula is an intra-articular posterior cannula for placing the plurality of fixation devices claim 1 , and the second cannula is a subacromial claim 1 , subdeltoid postero-lateral cannula for passing the flexible strands.5. The method of claim 1 , further comprising the step of forming a plurality of knotless closed loops each having an adjustable perimeter.6. The method of claim 5 , ...

SUTURE RETENTION MECHANISM

The present invention provides suture retention devices for retaining a suture on a bodily wall, e.g. for affixing the suture to the skin such as during the creation of an external percutaneous fluidic connection. In one embodiment, a device includes a base member and a swivel member. In another embodiment, the device includes a base member, first and second jaws, and a key. Operation of the swivel member or key serves to lock the suture to the device, and hence maintain tension on the suture while affixed to the skin. 1. A device for retaining a suture on a bodily wall , the device comprising:a base member having an upper surface, a lower surface, and a bore extending from the upper surface to the lower surface and defining a bore surface, the bore surface including a base jaw surface; anda swivel member rotatably attached to the base member for rotation between an open position and a closed position relative to the base member, the swivel member including a swivel jaw surface in communication with the bore, the swivel jaw surface engaged with the base jaw surface in the closed position such that a suture passing through the bore is fixed to the device, the swivel jaw surface disengaged from the base jaw surface in the open position such that the suture is not fixed to the device.2. The device of claim 1 , wherein the base member defines a recess in communication with the bore claim 1 , the recess receiving the swivel member.3. The device of claim 2 , wherein the recess in the base member receives the swivel member in the closed position such that the base member and swivel member together have a disc shape.4. The device of claim 2 , wherein the recess opens to the upper surface of the base member.5. The device of claim 4 , wherein the base member includes a side surface extending from the upper surface to the lower surface claim 4 , and wherein the recess in the base member also opens to the side surface.6. The device of claim 2 , wherein the recess defines two ...

SUTURE ANCHOR CONSTRUCT

Disclosure herein are knotless suture anchor constructs and methods of use thereof. The suture anchor constructs can include a bone anchor and a suture. The bone anchor can include a suture anchoring member and can define a cavity and a longitudinal passage extending from a trailing end of the bone anchor at least partially therethrough to the cavity. The suture anchoring member can be located in the cavity. The suture can be coupled to the suture anchoring member and can include a tensioning portion, a repair portion, and an intermediate portion. The intermediate portion can form a suture loop extending along the longitudinal passage. 1. A suture anchor construct comprising:a bone anchor including a suture anchoring member, the bone anchor defining a cavity and a longitudinal passage extending from a trailing end of the bone anchor at least partially therethrough to the cavity, the suture anchoring member located in the cavity; anda suture coupled to the suture anchoring member and including a tensioning portion, a repair portion, and an intermediate portion, the intermediate portion forming a suture loop extending along the longitudinal passage.2. The suture anchor construct of claim 1 , wherein the tension portion or the repair portion extend from the suture anchoring member through the longitudinal passage.3. The suture anchor construct of claim 1 , wherein the repair portion of the suture includes one or more protuberances.4. The suture anchor construct of wherein a second end of the repair portion passes through the suture anchoring member.5. The suture anchor construct of claim 1 , further comprising a snare passing through a first radial passage and the suture loop claim 1 , the snare defining a snare loop sized to allow a portion of the repair portion to pass through the snare loop.6. The suture anchor construct of claim 1 , wherein the intermediate portion is a constriction construct that couples the tensioning portion and the repair portion.7. The suture ...

METHOD AND APPARATUS FOR ATTACHING TISSUE TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL KNOTLESS SUTURE ANCHOR SYSTEM

Apparatus for securing a first object to a second object, the apparatus comprising: 142.-. (canceled)43. Apparatus for securing a first object to a second object , the apparatus comprising:an elongated body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end;a window extending through the side wall of the elongated body and communicating with the lumen, the window being sized to receive a first object therein;a locking element disposed in the lumen, the locking element having a larger proximal end and a smaller distal end;whereby, when the elongated body is disposed in a second object, and a first object extends through the window, and the locking element is thereafter moved distally, distal movement of the locking element captures the first object to the elongated body, whereby to secure the first object to the second object.44. Apparatus according to wherein distal movement of the locking element causes the elongated body to radially expand so as to secure the elongated body to the second object.45. Apparatus according to wherein the locking element comprises an exterior screw thread claim 43 , and the elongated body comprises a corresponding interior screw thread.46. Apparatus according to further comprising a second window extending through the side wall of the elongated body and communicating with the lumen claim 43 , the second window being sized to receive a first object therein.47. Apparatus according to wherein the second window is diametrically opposed to the window.48. Apparatus according to wherein the second window is longitudinally offset from the window.49. Apparatus according to further comprising an inserter for manipulating the elongated body.50. Apparatus according to wherein the inserter comprises a hollow tube having a lumen extending therethrough claim 49 , wherein the lumen of the hollow tube communicates with the lumen of the elongated body.51. Apparatus according to wherein the inserter ...

Suture anchor and associated methods of use

A method for securing a sleeve in a bore hole in bone. The method includes disposing at least a portion of a length of filament into the bore hole, and implanting the sleeve into the bore hole such that a first pathway extending through first and second ends of the sleeve opens in a direction toward the opening of the bore hole and in a direction toward the base of the bore hole. The method also includes pulling at least a portion of the length of filament through the first pathway of the sleeve, thereby forming a first loop configuration extending from the first end and at least one free end of the length of filament extending from the second end. Also included is passing the at least one free end through the first loop configuration to create a one-way cinch.

METHOD AND APPARATUS FOR ATTACHING TISSUE TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL KNOTLESS SUTURE ANCHOR SYSTEM

Apparatus for securing a first object to a second object, the apparatus comprising: 164.-. (canceled)65. Apparatus for securing a suture to a bone , the apparatus comprising:a body having a distal end, a proximal end, and a lumen extending between the distal end and the proximal end, wherein the body is configured to receive a suture;an elongated element extending through the lumen of the body, the elongated element comprising a proximal end and a distal end; anda locking element connected to the distal end of the elongated element and movably disposed in the lumen of the body, such that proximal movement of the elongated element moves the locking element proximally to (i) create an interference fit between an outer surface of the locking element, a suture disposed within the lumen of the body, and an inner wall of the body, and (ii) expand the body, whereby to secure the suture to the bone.66. Apparatus according to wherein the lumen of the body comprises a distal section and a proximal section claim 65 , the distal section of the lumen having a wider diameter than the proximal section of the lumen.67. Apparatus according to wherein the body comprises a window extending through the side wall of the body and communicating with the lumen claim 66 , the window being disposed in the vicinity of the intersection between the distal section of the lumen and the proximal section of the lumen and being sized to receive the suture therein.68. Apparatus according to wherein the elongated element comprises a stepped configuration having an enlarged distal section and a reduced proximal section.69. Apparatus according to wherein the suture is attached to tissue.70. Apparatus according to wherein the elongated element comprises a rod.71. Apparatus according to wherein the elongated element comprises a suture.72. Apparatus according to wherein the locking element comprises a bore claim 65 , and further wherein the elongated element is received in the bore.73. Apparatus according ...

FLIPPING-TYPE GRAFT FIXATION DEVICE AND METHOD WITH LOW FLIPPING DISTANCE

A graft retention device has an elongated body with a first and second ends and a midpoint therebetween. A pair of elongated slots formed through the body defines a tang therebetween. A graft retention loop is disposed over the tang and is slidable therealong. A trailing line connects to the body adjacent the slots and extends therefrom through the graft retention loop toward the first end. Tension applied to the trailing line thus tends to urge the graft retention loop away from the first end and toward the midpoint. 117-. (canceled)18. A method for fixing a graft ligament into a bone tunnel , the method comprising the steps of:forming a graft construct by disposing the graft ligament over a loop slidably disposed upon a tang formed by and between two elongated slots through an elongated fixation buckle, the loop being slidable along the tang from a first position nearer a first end of the buckle to a second position nearer a midpoint of the buckle;moving the buckle up through the bone tunnel with a second end of the buckle leading; andafter the buckle has been pulled through the tunnel, applying tension to a trailing line connected to the tang and passing through the loop and away from the second position, the tension urging the loop toward the second position and also reorienting the buckle to be crosswise to the tunnel on the bone adjacent the tunnel with the loop depending into the tunnel from the second position on the buckle. This application relates to graft fixation, and more particularly to graft tissue fixation employing flipping-type fixation devices.Flipping-type fixation devices, such as disclosed in U.S. Pat. Nos. 5,306,301 and 5,645,588 which are incorporated herein by reference, allow a simple procedure to be used for fixing tissue such as in an Anterior Cruciate Ligament (ACL) reconstruction. Such device comprises an elongated bar having a central suture loop depending therefrom. A tunnel is prepared in the femur from a position at or near the ...

Miniaturized dual drive open architecture suture anchor

The disclosure provides examples of an open architecture anchor for securing soft tissue to bone, for example, to repair a torn rotor cuff. The anchor includes at least one open helical coil defining a polygonal internal volume and at least one rib disposed within the polygonal internal volume and connected to at least two turns of the at least one open helical coil. The at least one rib is sized to engage a driver and a combination of the at least one rib and the polygonal internal volume is sized to provide an anchor drive torque required to drive the anchor into bone.

Knotless instability devices and methods for soft tissue repair

Knotless suture anchors and methods are provided for affixing soft tissue to a bone. One exemplary embodiment of a suture anchor includes an insertion rod, a distal tip member removably coupled to a distal end of the insertion rod, the distal tip member having a suture engagement feature configured to have a plurality of suture limbs slidably coupled to the tip member, and a proximal main member having an elongated cylindrical body with one or more bone-engaging features disposed on its outer surface and a longitudinal lumen extending from a proximal end to a distal end. The suture anchor can also include two suture limb holding surfaces to maintain two suture limbs a distance apart from each other. Other exemplary embodiments, as well as methods for affixing soft tissue to a bone, are also provided.

EXPANDING SUTURE ANCHOR HAVING AN ACTUATOR PIN

A method and apparatus for reattaching soft tissue to a boney structure using an expanding suture anchor. The method can include providing a suture anchor and forming a cavity in the boney structure for receipt of the suture anchor. The method can also include coupling the soft tissue to a suture and coupling the suture to the suture anchor. The method can further include deploying the suture anchor to fix the suture to the suture anchor and the suture anchor to the cavity. 18.-. (canceled)9. A suture anchor system for anchoring soft tissue to bone; the suture anchor system comprising:a suture anchor including a sleeve anchor and a suture-receiving insert, the sleeve anchor including an interior side wall and exterior threads, the suture-receiving insert including a distal portion and a proximal body portion that extends proximally of the distal portion, the distal portion including a distal tip and a proximal end with a proximal facing surface; anda suture passable through the suture-receiving insert and couplable to soft tissue,wherein the suture-receiving insert is partially receivable in the sleeve anchor to lock the suture to the suture anchor, said partially receivable including the proximal body portion extending into the sleeve anchor through an opening in a distal end of the sleeve anchor with the distal portion remaining outside the sleeve anchor distal of the opening in the distal end of the sleeve anchor, wherein the distal end of the sleeve anchor includes a distal facing surface around the opening, and wherein the suture being so locked includes the suture passing through the suture-receiving insert with a first portion of the suture extending between the proximal facing surface of the proximal end of the distal portion and the distal facing surface of the distal end of the sleeve anchor and with a second portion of the suture extending between an exterior side wall of the proximal body portion and the interior side wall of the sleeve anchor.10. The ...

Method And Apparatus For Coupling Soft Tissue To Bone

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone. The method includes the following: implanting in bone a first anchor including a first suture construct connected to the first anchor; passing a first adjustable loop of the first suture construct at least one of over or through the soft tissue; coupling the first adjustable loop to one of a first locking feature of the first anchor or a second locking feature of a second anchor; adjusting the first adjustable loop by pulling a first end of the first suture construct; and securing the soft tissue against bone by pulling the first end of the first suture construct.

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues, organs, anatomical structures, grafts or other structures within the body of human or animal subjects for the purpose of treating a diseases or disorders and/or for cosmetic or reconstructive purposes and/or for research and development purposes or other purposes.

METHOD FOR TISSUE FIXATION

A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes a channel on an exterior surface and an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member. 116.-. (canceled)17. A method of securing a connector device to bone , the method comprising:providing or obtaining a connector device that includes a suture strand having a first end and a second end, the connector device further including a flexible tubular sleeve having an inner bore extending between a first open end and a second open end of the flexible tubular sleeve, the flexible tubular sleeve slidably received on the suture strand with the suture strand passing axially through the inner bore and exiting the flexible tubular sleeve through the first open end and the second open end of the flexible tubular sleeve;forming a first bore in bone;inserting the connector device into the first bore in a first direction, wherein the flexible tubular sleeve is inserted into the first bore in a folded delivery configuration with the first end of the suture strand and the second end of the suture strand located outside the first bore; andtensioning the suture strand while the flexible tubular sleeve is situated in the first bore,wherein said tensioning pulls the flexible tubular sleeve in a second direction opposite the first direction and deforms the flexible tubular sleeve in the first bore from the folded delivery configuration to a bunched-up securing configuration, the bunched-up securing configuration resisting movement of the flexible tubular sleeve back through the first bore in the second direction.18. The method of ...

SURGICAL CONSTRUCTS AND METHODS FOR SECURING TISSUE

Suture constructs and methods are provided for securing soft tissue to bone. One exemplary embodiment of a construct includes a first limb, a second limb, a coaxial region, and a collapsible snare defined by the first and second limbs. The coaxial region can be formed by a portion of the second limb being disposed in a volume of the first limb, which allows for a low profile construct that is useful in various soft tissue repair procedures. The construct can be configured to be disposed in tissue to draw the tissue toward bone, and the coaxial region can be deconstructed so that the first and second limbs can be used to help secure the desired location of the tissue with respect to the bone. Various features of the construct and methods for using the same in a surgical procedure are also provided. 1. A surgical repair method , comprising:selecting a surgical repair construct comprising:a collapsible snare defined by a first filament limb and a second filament limb; anda coaxial region formed by a terminal end of the second filament limb being disposed within a volume of the first filament limb;fixing an anchor in bone in proximity to detached soft tissue;passing a terminal end of the first filament limb through a portion of the detached soft tissue and around an engagement feature of the anchor such that the snare extends from one side of the anchor and the terminal end of the first filament limb extends from another side of the anchor;passing the terminal end of the first filament limb through the snare;collapsing the snare to engage the soft tissue;advancing the collapsed snare distally to bring the tissue into proximity with the bone; andremoving the terminal end of the second filament limb from the volume of the first filament limb to eliminate the coaxial region.2. The method of claim 1 , further comprising tying the first and second filament limbs into one or more knots proximate to the collapsed snare after the coaxial region has been eliminated to maintain ...

FRACTURE FIXATION DEVICE

Assemblies for securing a fractured or weakened bone within a subject's body are provided. The assembly includes a frame having an adjustable flexible member construct thereon. The adjustable flexible member construct is disposed in the frame such that the adjustable flexible member and the frame encircle the fractured or weakened bone. 120.-. (canceled)21. A bone compression assembly , comprising:a first fixation element securable in a first bone portion, the first fixation member including a proximal screw head and a distal portion that extends from the proximal screw head;a second fixation element securable in a second bone portion, the second fixation member including a distal threaded portion and a proximal receiving portion into which the distal portion of the first fixation element can be received; andan adjustable suture construct extending between the first fixation element and the second fixation element, the adjustable suture construct including a suture with a free end that extends through a longitudinal passage in the suture to form an adjustable loop,wherein the adjustable suture construct is coupled to the first fixation element and the second fixation element such that, with the free end extending through the longitudinal passage in the suture to form the adjustable loop, the free end can be pulled through the longitudinal passage to decrease a size of the adjustable loop for pulling the first fixation element and the second fixation element toward one another.22. The bone compression assembly of claim 21 , wherein the free end is a first free end claim 21 , the longitudinal passage is a first longitudinal passage claim 21 , and the adjustable loop is a first adjustable loop claim 21 , the suture further including a second free end that extends through a second longitudinal passage in the suture to form a second adjustable loop.23. The bone compression assembly of claim 22 , wherein the first free end extends through the first longitudinal passage ...

METHODS, SYSTEMS AND APPARATUSES FOR TORSIONAL STABILIZATION

Methods, systems and apparatuses are provided for torsionally stabilizing a spinal motion segment. One or more implants are placed between two vertebrae to provide torsional stabilization. In particular, one or more implants may be fixed between a superior vertebral body, such as at the spinous process, and an inferior vertebral body. The implants may be connected to the superior vertebral body using a fixation device such as a turnbuckle, an outrigger, a thimble, an endobutton, a suture plug or combinations thereof. The implant may also be connected to the inferior vertebral body using various types of hardware, including staples, screws and anchors. The implant may be kept in tension to provide torsional stabilization and may be comprised of one or more sutures. A multi-functional instrument having one or more arms having holes can be used to clamp onto the superior vertebral body and guide one or more implants to various locations for fixation in accordance with the methods described herein. 1. (canceled)2. A method for providing torsional stabilization to a spine , comprising:clamping a surgical instrument to the spinous process of a superior vertebral body, wherein the surgical instrument comprises a clamping mechanism for attachment to the spinous process and one or more arms, each arm having one or more alignment openings oriented to align with a location desirable for attaching one or more fixation devices;creating a hole in the spinous process of the superior vertebral body through a first alignment opening aligned with a desired location on the spinous process of the superior vertebral body;guiding a stabilizing implant to a desired location on an inferior vertebral body using a second alignment opening;fixing a first portion of the stabilizing implant to the desired location of the inferior vertebral body; andfixing a second portion of the stabilizing implant to the spinous process.3. The method of claim 2 , further comprising capturing a portion of the ...

DEVICES, SYSTEMS AND METHODS FOR TREATING BENIGN PROSTATIC HYPERPLASIA AND OTHER CONDITIONS

Extra-urethral implants and methods of use are disclosed. Implants can treat disorders or diseases of the prostate by, for example, enlarging the lumen of the prostatic urethra. 122-. (canceled)23. A system for implantation in a lumen of a urethra , comprising:a delivery device configured to carry and deliver an implant; andan implant having a non-circular cross-sectional shape such that the cross-sectional shape substantially conforms to the cross-sectional shape of the urethra.24. The system of wherein the non-circular cross-sectional shape of the implant is a triangular shape.25. The system of wherein the implant is configured to have a first configuration to a second configuration.26. The system of wherein the first configuration is a constrained configuration and the second configuration is an expanded configuration.27. The system of wherein the implant self-expands from the first configuration to the second configuration.28. The system of wherein the delivery device causes the implant to change from the first configuration to the second configuration.29. The system of wherein the implant is configured to provide an outward radial force on the urethra.30. The system of wherein the implant is configured to provide an outward radial force on the urethra in the second configuration.31. The system of wherein the implant is configured to provide an outward radial force on the urethra in the expanded configuration.32. An implant for treating a urethral lumen claim 26 , comprising a plurality of legs arranged in triangular shape claim 26 , wherein the implant has a delivery configuration and a deployed configuration.33. The implant of wherein the delivery configuration has a smaller cross-section than the deployed configuration.34. The implant of wherein the implant self-expands from the delivery configuration to the deployed configuration.35. The implant of wherein the implant is expanded from the delivery configuration to the deployed configuration using a delivery ...

Suture and Soft Anchor Assembly and Method of Making the Same

A method of anchoring a suture into a pilot hole in bone, utilizing a suture anchor. A lumen-defining circular soft wall, having a first and second end, is slidably engaged to a piece of suture, a first length of which extends from the first end of the wall and is threaded through the lumen from the second end, and a second length of which extends from the second end and is threaded through the lumen from the first end. The suture anchor is introduced into the pilot hole so that the first length and second length of suture material extend out of the pilot hole. The first length and second length are pulled on alternately, thereby permitting the suture anchor structure to slide on the piece of suture material, and to be compacted evenly by the pulling, until the suture anchor is set in the pilot hole. 1. A suture assembly , including a soft anchor , comprising:(a) a piece of suture material;(b) a soft structure, of greater diameter and a shorter length than said piece of suture material and having a circular soft wall, defining an interior lumen and having a first end and a second end opposed to said first end;(c) wherein said first piece of suture material extends longitudinally through said circular soft wall in such a manner that said soft structure can slide along said piece of suture material and thereby defining a first length of said piece of suture material, extending from engagement with said circular soft wall at said first end and a second length of said piece of suture material, extending from engagement with said circular soft wall at said second end; and(d) wherein said first length is threaded through said lumen, entering at said second end, thereby forming a loop, and said second length is threaded through said lumen, entering at said first end, thereby forming a loop and thereby forming an anchor made up of said circular soft wall and said loops and said first and second lengths extending outward and thereby being available for attachment to ...

METHOD OF USING ULTRASONIC VIBRATION TO SECURE BODY TISSUE

A suture and a suture retainer are positioned relative to body tissue. Ultrasonic vibratory energy is utilized to heat the suture retainer and effect a bonding of portions of the suture retainer to each other and/or to the suture. Portions of the body tissue may be pressed into linear apposition with each other and held in place by cooperation between the suture and the suture retainer. The suture retainer may include one or more portions between which the suture extends. The suture retainer may include sections which have surface areas which are bonded together. If desired, the suture may be wrapped around one of the sections of the suture retainer. The suture retainer may be formed with a recess in which the suture is received. If desired, the suture retainer may be omitted and the sections of the suture bonded to each other. 1. A method of using ultrasonic vibration to secure body tissue , the method comprising:moving a leading end portion of a fastener into engagement with body tissue; and applying ultrasonic vibratory energy to the fastener to heat material forming the fastenersuch that the material becomes moldable and flows when subjected to pressure,wherein compressive force is applied during the application of the ultrasonic vibratory energy.2. The method of wherein the ultrasonic vibratory energy is between 20 and 70 kilohertz.3. The method of wherein the ultrasonic vibratory energy is applied for a period of time between 0.25 and 1.0 seconds.4. The method of further comprising the step of maintaining the compressive force after interruption of the ultrasonic vibration.5. The method of wherein the compressive force is maintained for a predetermined amount of time sufficient to allow the material of the fastener to cool.6. The method of wherein the compressive force is applied for 1.0 seconds after interruption of the ultrasonic vibratory energy.7. The method of wherein the material is a polymer.8. The method of wherein the polymer is a biodegradable.9. The ...

IMPLANT HAVING ADJUSTABLE FILAMENT COILS

A device having one or more adjustable loops or coils associated with an implant body for use in soft tissue reconstructions is provided. One exemplary embodiment of a device includes a body and a suture filament, with the filament being used to form a self-locking sliding knot disposed on a top side of the body and a plurality of adjustable coils that are substantially disposed on the body's bottom side. Terminal ends of the filament located above the body's top side can be passed through an opening of a Lark's Head knot from opposite sides, thus forming a self-locking sliding knot, and then the terminal ends can be tensioned to adjust a circumference of the coils. Changing a coil's circumference changes a location of a ligament graft disposed on the coil. Other configurations of devices and systems, as well as methods for performing ACL repairs, are also provided. 1. A surgical implant , comprising:a body having a plurality of thru-holes formed therein; and a self-locking knot, the self-locking knot defining a collapsible opening that is located on a top side of the body, and', 'one or more coils arranged such that each coil is formed as a result of the suture filament being disposed through at least two of the plurality of thru-holes of the body such that a portion of each coil is disposed on the top side of the body and a portion of each coil is disposed on a bottom side of the body,, 'a suture filament extending through the body and configured to form a portion of the suture filament that is intermediate a first terminal end thereof and the one or more coils, is disposed on the top side of the body and extending through the collapsible opening from a first side of the opening, and', 'a portion of the suture filament that is intermediate a second terminal end thereof and the one or more coils disposed on the top side of the body and passed through the collapsible opening from a second, opposite side of the opening, and, 'wherein the self-locking knot haswherein ...

SURGICAL FILAMENT SNARE ASSEMBLIES

A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably connected, to the filament engagement feature of the anchor. The first and second noose limbs emerge from the anchor as first and second free filament limbs which are capable of being passed through tissue to be repaired and then passable through the noose. The noose, such as one or more half-hitches, is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after the anchor is fixated. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs at least through the tissue as a single unit. 1. A surgical filament snare assembly , comprising:an anchor capable of being fixated in bone and having a filament engagement feature;a first filament having a noose with first and second noose limbs connected to the filament engagement feature of the anchor and emerging from the anchor as first and second free filament limbs which are capable of being passed through tissue to be repaired and then passable through the noose to enable incremental tensioning of the tissue after the anchor is fixated in bone, the noose strangulating the free filament limbs when tension is applied to at least one of the free filament limbs and the noose; anda flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs through tissue and then the noose as a single unit.2. The assembly of wherein the sleeve is formed from a braided suture.3. The assembly of wherein the first filament is a braided suture and a section of one of the first ...

Self-Cinching Suture Anchors, Systems, and Methods

Various self-cinching suture anchors, self-cinching suture anchor systems, and methods of use are provided. In one exemplary embodiment, a suture anchor is provided that includes an outer member and an inner member configured to be received within the outer member. The inner and outer members can define a gap that allows a suture to be movably disposed within the outer member, e.g., within the gap, when the inner member is disposed within the outer member. The inner member can be configured to be secured within the outer member by a knot of the suture having a diameter greater than a width of the gap so as to fix the inner member within the outer member, while still allowing uni-directional tensioning of the suture. 1. A surgical method , comprising:threading a suture coupled to a soft tissue through an inner lumen of a suture anchor, around a suture receiving member located in a distal end portion of the suture anchor, and back through the inner lumen, the suture having first and second terminal ends that extend out of a proximal end of the suture anchor;implanting the suture anchor in a bone hole;tensioning the first and second terminal ends of the suture to pull the suture around the suture receiving member and thereby pull the soft tissue toward the suture anchor; andforming a first knot with the first and second terminal ends of the suture such that the first knot is positioned adjacent to the proximal end of the suture anchor and to a proximal end of a plug disposed within the inner lumen, the plug allowing free sliding movement of the suture within the inner lumen of the suture anchor, and the first knot having an outer diameter that prevents the first knot from passing between the suture anchor and the plug such that the first knot retains the plug within the suture anchor as tension is applied to the suture by the soft tissue.2. The method of claim 1 , wherein a portion of the suture extends through a central lumen in the plug.3. The method of claim 1 , ...

LIGAMENT SCREW ATTACHMENT DEVICE

A bone block assembly including a bone block having a proximal end, a distal end, a central axis defined therethrough, and a hole formed therethrough, and a threaded screw having a proximal end, a distal end, and a first eyelet formed on the proximal end of the threaded screw, the threaded screw configured to be received within the hole of the bone block. The first eyelet of the threaded screw is, at least partially, exposed on the proximal end of the bone block when the threaded screw is fully engaged with the bone block. The first eyelet of the threaded screw is configured to receive a suture. 110-. (canceled)11. A ligament screw comprising:a screw body having a proximal end, a tapered distal end and a longitudinal axis extending therebetween, a surface of the screw body comprising a plurality of turns of a screw thread;a first eyelet formed on the proximal end of the screw body configured to receive a suture; anda second eyelet formed on the distal end of the screw body configured to receive a suture;wherein a tip of the screw thread is not pointed so as to capture a cortical layer at a bony-ligament junction of a graft.12. The ligament screw of claim 11 , wherein the screw thread is a self-tapping screw thread configured to form corresponding threads within a hole in a bone block.13. The ligament screw of claim 11 , wherein the screw body comprises a cannulation extending along the longitudinal axis for receiving a surgical tool.14. The ligament screw of claim 13 , wherein the cannulation extends through an entire length of the screw body.15. The ligament screw of claim 13 , wherein the cannulation extends through a partial length of the screw body.16. The ligament screw of claim 11 , wherein the screw body is configured to engage with a driving tool.17. The ligament screw of claim 11 , wherein the screw body is formed from a rigid claim 11 , biocompatible material.18. The ligament screw of claim 11 , wherein the screw body is formed from stainless steel.19. The ...

SUTURE ANCHORS AND METHOD OF USE

An anchoring system for securing tissue to bone includes an implant having a body through which a suture eyelet extends transversely, a suture recess extending along a portion of a length of the body, having a predetermined depth below an outer surface of the body, and a suture pinch ramp disposed at a proximal end of the suture recess. The suture pinch ramp has a depth approximately equal to the predetermined depth at a distal end thereof and sloping outwardly in a proximal direction so that a depth of a proximal end of the suture pinch ramp approaches zero. An insertion member includes an insertion tube and a handle which is engageable with the anchor body to deploy the anchor in a selected bone site. 118.-. (canceled)19. An anchoring system for securing soft tissue to bone , the anchoring system comprising:an anchor that includes a distal end, a proximal end, and a suture eyelet formed in the anchor between the distal end and the proximal end of the anchor, wherein at least the distal end of the anchor is positionable inside a bone;a suture passing through the suture eyelet; anda delivery rod received in the anchor through an opening in the proximal end of the anchor;wherein the delivery rod is movable distally inside the anchor to a first position in which the positioning of the delivery rod permits the suture to slide through the suture eyelet yet blocks the suture from entering a suture cleat that is positioned proximally of the suture eyelet in the anchor, and wherein the delivery rod is further movable back through the anchor proximally to a second position in which the delivery rod no longer blocks the suture from entering the suture cleat.20. The anchoring system of claim 19 , wherein the delivery rod extends to the distal end of the anchor in the first position.21. The anchoring system of claim 19 , wherein the delivery rod is part of an insertion member that has a proximal handle portion.22. The anchoring system of claim 19 , wherein the suture cleat has ...

SYSTEMS AND METHODS FOR ORTHOPEDIC REPAIR

According to some embodiments, an implant for correcting a deformity in or near a joint of a subject includes an implant body having an internal lumen, a suture side hole or window extending through a wall of the implant body and providing access to the internal lumen through an exterior of the implant body, a tension assembly comprising a first bone anchor and a second bone anchor, wherein the first and second bone anchors are configured to be placed on opposite sides of the implant body, and an adjustable suture loop coupling the first bone anchor to the second bone anchor, wherein at least a portion of the at least one adjustable suture loop is positioned within the internal lumen of the implant body. 1. A method of correcting a deformity in or near a joint of a subject , comprising:positioning a first bone anchor of an implant into a first bore located in a proximal bone of the subject;wherein the implant comprises an implant body having an internal lumen, a suture window extending through a wall of the implant body, the suture window providing access to the internal lumen through an exterior of the implant body;wherein the implant further comprises a tension assembly having the first bone anchor and a second bone anchor, wherein the first and second bone anchors are located on opposite sides of the implant body;wherein the tension assembly further comprises at least one adjustable suture loop coupling the first bone anchor to the second bone anchor, wherein at least a portion of the at least one adjustable suture loop is positioned at least partially within the internal lumen of the implant body, the at least one adjustable suture loop further comprising at least one suture tail that extends through the suture window and to an exterior of the implant body;positioning the second bone anchor of the implant into a second bore located in a distal bone of the subject;deploying the first and second bone anchors so that the first and second bone anchors engage ...

Abdominal Wall Closure Devices and Methods for Use Thereof

The present disclosure provides a wound closure device that includes (a) a biocompatible material configured to be brought into abutment with a tissue surface, and (b) a plurality of fixation components connected to and extending through the biocompatible material, where at least one of the plurality of fixation components is configured to allow a suture to be connected to and extend through the at least one fixation component. 1. A wound closure device comprising:a biocompatible material configured to be brought into abutment with a tissue surface;a rigid deployment plate removably disposed over at least a portion of the biocompatible material; anda plurality of fixation components connected to and extending through the biocompatible material, wherein each of the plurality of fixation components have a first end positioned adjacent to the biocompatible material and a second end opposite the first end, and wherein the second end of each of the plurality of fixation components comprises at least one protrusion configured to penetrate the tissue surface.2. The wound closure device of claim 1 , wherein the biocompatible material comprises a mesh.3. The wound closure device claim 2 , wherein the mesh comprises a microreplicated mesh.4. The wound closure device of claim 2 , wherein the mesh comprises a multilayer mesh claim 2 , wherein at least one layer of the multilayer mesh comprises a microreplicated material.5. The wound closure device of claim 1 , wherein the plurality of fixation components comprise a plurality of tacks.6. The wound closure device of claim 1 , wherein the at least one protrusion comprises at least one barb extending away from a body of the plurality of fixation components.7. The wound closure device of claim 1 , further comprising:an adhesive positioned on the biocompatible material between the rigid deployment plate and the biocompatible material to thereby removably couple the rigid deployment plate to the biocompatible material.8. The wound ...

Sock anchor and method

Embodiments of the invention include devices and methods for providing an anchor in tissue. An anchor of some embodiments is formed from strands of material combined together into a body and one or more elongated members extending from a distal end of the body that include one or more of the strands of material from which the proximal end of the body is formed. The elongated members may be pulled back through the body and pulled proximally relative to the body to laterally expand the body. Some embodiments may also use an inserter with a rod sized to fit in a cannula through the body of the anchor and a tube configured to provide a more rigid structure about the exterior of the anchor during insertion.

Surgical constructs and methods for securing tissue

Suture constructs and methods are provided for securing soft tissue to bone. One exemplary embodiment of a construct includes a first limb, a second limb, a coaxial region, and a collapsible snare defined by the first and second limbs. The coaxial region can be formed by a portion of the second limb being disposed in a volume of the first limb, which allows for a low profile construct that is useful in various soft tissue repair procedures. The construct can be configured to be disposed in tissue to draw the tissue toward bone, and the coaxial region can be deconstructed so that the first and second limbs can be used to help secure the desired location of the tissue with respect to the bone. Various features of the construct and methods for using the same in a surgical procedure are also provided.

Knotless suture anchor

A suture anchor comprises a tubular body having an axial bore therethrough and having one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, such as threads. A lateral port passes through the body from the bore to the exterior surface and is formed of a slot entering the body from its proximal end. A length of suture for attaching soft tissue to bone passes down along the exterior surface over the one or more purchase enhancements, over a distal end of the body, up into the bore through and then back out of the bore and up along the exterior surface over the one or more purchase enhancements.

NONINVASIVELY ADJUSTABLE SUTURE ANCHORS

In one embodiment, an adjustable implant system includes a bone anchor having first and second ends, a bone engagement surface adjacent the first end, and a housing extending between the first and second ends. The adjustable implant system can further include a non-invasively actuatable driving element within the housing and coupled to an adjustment component configured to couple to a flexible elongate tension member which is capable of engaging a patient's soft tissue (e.g., rotator cuff or ACL). Non-invasive actuation of the driving element can cause the adjustment component to change the amount of tension on the flexible elongate tension member and consequently on the patient's soft tissue. The adjustable implant system can include an external adjustment device configured to be placed on or adjacent the patient's skin and comprising at least one energy transferring component configured to energize/actuate the driving element inside the housing of the adjustable implant. 1. An adjustable implant system comprising:a bone anchor having a first end and a second end, with a housing extending between the first end and the second end, and including a bone engagement surface adjacent the first end;a driving element located within the housing and coupled to an adjustment component further coupled to a flexible elongate tension member configured to engage a soft tissue of a patient, and the driving element configured for non-invasive actuation; andan external adjustment device comprising at least one energy transferring component and configured to be placed on or adjacent the skin of the patient, wherein the at least one energy transferring component is configured to energize the driving element inside the housing of the bone anchor to change an amount of tension on the flexible elongate tension member.2. The adjustable implant system of claim 1 , wherein the driving element is selected from the group consisting of: a permanent magnet claim 1 , an inductively coupled motor ...